Medial Epicondyle Fractures, Elbow Dislocations, and Transphyseal Separations

2015 ◽  
pp. 1167-1202
Author(s):  
Rachel Y. Goldstein ◽  
James Lee Pace ◽  
David L. Skaggs
Keyword(s):  
Medial Epicondyle

scholarly journals A Neglected Markedly Displaced Medial Epicondyle Fracture with Simultaneous Ulnar Nerve Palsy in an Adolescent

2017 ◽  
Vol 9 (4) ◽  
pp. 542 ◽  
Author(s):  
Tamer Ahmed EL-Sobky ◽  
John Fathy Haleem ◽  
Hossam Moussa Sakr ◽  
Ahmad Saeed Aly
Keyword(s):  
Ulnar Nerve ◽  
Nerve Palsy ◽  
Medial Epicondyle ◽  
Ulnar Nerve Palsy ◽  
Medial Epicondyle Fracture

Displaced medial epicondyle fractures of the humerus: surgical treatment and results. A report of 139 cases

2009 ◽  
Vol 130 (5) ◽  
pp. 649-655 ◽  
Author(s):  
Djamel M. Louahem ◽  
Sophie Bourelle ◽  
Florent Buscayret ◽  
Philippe Mazeau ◽  
Paula Kelly ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Medial Epicondyle

scholarly journals Age-Specific Prevalence and Clinical Characteristics of Humeral Medial Epicondyle Apophysitis and Osteochondritis Dissecans: Ultrasonographic Assessment of 4249 Players

2017 ◽  
Vol 5 (5) ◽  
pp. 232596711770770 ◽  
Author(s):  
Kenichi Otoshi ◽  
Shinichi Kikuchi ◽  
Kinshi Kato ◽  
Ryohei Sato ◽  
Takahiro Igari ◽  
...  
Keyword(s):  
Osteochondritis Dissecans ◽  
Morphological Changes ◽  
Medial Epicondyle ◽  
Baseball Players ◽  
Elbow Pain ◽  
Elbow Injuries ◽  
Bony Healing ◽  
History Of ◽  
Study Participants ◽  
Ultrasonographic Assessment

Background: Traction apophysitis of medial epicondyle (MEC) lesions and osteochondritis dissecans (OCD) of the capitellum are common elbow injuries in adolescent baseball players. However, the age-specific prevalence of these pathologies and their influence on elbow pain remain unknown. Purpose: To investigate the age-specific prevalence of each MEC lesion and capitellar OCD and to identify the incidence of elbow pain in each condition. Study Design: Descriptive epidemiology study. Methods: Study participants consisted of 4249 baseball players aged 6 to 17 years. A questionnaire was used to assess history of elbow pain, and morphological changes of the elbow joint were assessed using ultrasonography. Results: Regarding MEC lesions, fragmented (FG) and irregular (IR) lesions both reached their greatest respective prevalence at 11 to 12 years of age. After 14 years of age, IR decreased sharply, whereas FG was maintained at approximately 10%. Hypertrophic (HT) lesions increased sharply, reaching over 50% at 16 years of age, while there was a decrease in IR and FG lesions in the same age group. The prevalence of capitellar OCD remained the same (approximately 2%) throughout all ages except for in players aged 7 to 8 years (>7%). Players with MEC lesions had significantly greater prevalence of a history of elbow pain compared with those without (68.0% vs 39.1%) and were at a significantly greater risk for FG lesions (odds ratio [OR], 4.04; 95% CI, 3.16-5.22) compared with IR (OR, 3.22; 95% CI, 2.44-4.27) and HT lesions (OR, 2.03; 95% CI, 1.75-2.36). Players with capitellar OCD also had a significantly greater risk of a history of elbow pain (OR, 2.34; 95% CI, 1.40-4.11). Conclusion: Controlling the amount of practice and its intensity according to the condition of each player in the preadolescent and adolescent periods may be important in accelerating bony healing and decreasing preventable elbow pain in adulthood.

ANATOMICAL STUDY OF ARCADE OF STRUTHERS

Hand Surgery ◽  
2010 ◽  
Vol 15 (03) ◽  
pp. 157-159 ◽  
Author(s):  
Piyapong Tiyaworanan ◽  
Surut Jianmongkol ◽  
Tala Thammaroj
Keyword(s):  
Ulnar Nerve ◽  
Anatomical Study ◽  
Medial Epicondyle ◽  
Anatomical Location ◽  
Greater Tuberosity ◽  
Lateral Epicondyle ◽  
Surgical Exploration ◽  
Fresh Frozen ◽  
The Mean ◽  
Proximal Border

The incidence and the anatomical location of the arcade of Struthers as related to the arm length were studied in 62 arms of adult fresh-frozen cadavers. The distance between the greater tuberosity and the lateral epicondyle was designated as the arm length. The arcades of Struthers were identified in 85.4%. The mean arm length was 27.85 ± 1.3 cm. The mean of the distance between proximal border of the arcade of Struthers and the medial humeral epicondyle was 8.24 ± 2.06 cm. The mean ratio between the distance from the proximal border of the arcade to the tip of the medial epicondyle and arm length was 0.29 ± 0.07. We concluded that the anatomical location of the arcade as related to the arm length was 29% proximally, from the tip of the medial epicondyle. This report of the anatomical location of the arcade of Struthers related to the arm length can be useful to identify this structure in the arms which have differences in arm length during the surgical exploration and anterior transposition of the ulnar nerve procedures.

scholarly journals A rare branching pattern of ulnar nerve in the lower arm

2014 ◽  
Vol 31 (03) ◽  
pp. 159-161
Author(s):  
O. Oyedun ◽  
O. Onatola ◽  
C. Kanu ◽  
O. Zelibe
Keyword(s):  
Case Report ◽  
Ulnar Nerve ◽  
Surgical Repair ◽  
Medial Epicondyle ◽  
Branching Pattern ◽  
Medial Aspect ◽  
Nerve Blockade ◽  
Male Cadaver

Abstract Introduction: The ulnar nerve is one of the two terminal branches of the medial cord. It passes down the medial aspect of the arm and runs posterior to medial epicondyle to enter the forearm without branching. Previously, ulnar nerve variations have been consistently located in origin or course of the distal branches. Case Report: In this present case, an unreported rare bifurcation of ulnar nerve was seen in the left lower arm of a 65 year male cadaver with the resulting posteromedial and anterolateral branches arising above the medial epicondyle in.Its phylogeny and implications are discussed in detail. Conclusion: A lack of awareness of variations might complicate surgical repair and may cause ineffective nerve blockade.

Symptomatic medial epicondyle nonunion: treatment by open reduction and fixation with a tension band construct

2011 ◽  
Vol 20 (3) ◽  
pp. 455-460 ◽  
Author(s):  
Sanjai K. Shukla ◽  
Mark S. Cohen
Keyword(s):  
Open Reduction ◽  
Medial Epicondyle ◽  
Tension Band

scholarly journals Ulnar Nerve Enlargement at the Medial Epicondyle Negatively Correlates With Nerve Conduction Velocity in Cubital Tunnel Syndrome

Hand ◽  
2018 ◽  
Vol 15 (2) ◽  
pp. 165-169
Author(s):  
T. David Luo ◽  
Amy P. Trammell ◽  
Luke P. Hedrick ◽  
Ethan R. Wiesler ◽  
Francis O. Walker ◽  
...  
Keyword(s):  
Ulnar Nerve ◽  
Nerve Conduction ◽  
Nerve Conduction Velocity ◽  
Motor Nerve ◽  
Cubital Tunnel Syndrome ◽  
Medial Epicondyle ◽  
Cubital Tunnel ◽  
Motor Nerve Conduction ◽  
Nerve Enlargement ◽  
Tunnel Syndrome

Background: In cubital tunnel syndrome (CuTS), chronic compression often occurs at the origin of the flexor carpi ulnaris at the medial epicondyle. Motor nerve conduction velocity (NCV) across the elbow is assessed preoperatively to corroborate the clinical impression of CuTS. The purpose of this study was to correlate preoperative NCV to the direct measurements of ulnar nerve size about the elbow at the time of surgery in patients with clinical and/or electrodiagnostic evidence of CuTS. Methods: Data from 51 consecutive patients who underwent cubital tunnel release over a 2-year period were reviewed. Intraoperative measurements of the decompressed nerve were taken at 3 locations: at 4 cm proximal to the medial epicondyle, at the medial epicondyle, and at the distal aspect of Osborne fascia at the flexor aponeurotic origin. Correlation analysis was performed comparing nerve size measurements to slowing of ulnar motor nerve conduction velocities (NCV) below the normal threshold of 49 m/s across the elbow. Results: Enlargement of the ulnar nerve at the medial epicondyle and nerve compression at the flexor aponeurotic origin was a consistent finding. The mean calculated cross-sectional area of the ulnar nerve was 0.21 cm2 above the medial epicondyle, 0.30 cm2 at the medial epicondyle, and 0.20 cm2 at the flexor aponeurotic origin ( P < .001). There was an inverse correlation between change in nerve diameter and NCV slowing ( r = −0.529, P < .001). Conclusions: For patients with significantly reduced preoperative NCV and clinical findings of advanced ulnar neuropathy, surgeons can expect nerve enlargement, all of which may affect their surgical decision-making.

Response to: Medial Epicondyle Fractures: Biomechanical Evaluation and Clinical Comparison of 3 Fixation Methods Used in Pediatric Patients

2021 ◽  
Vol 41 (10) ◽  
pp. e937-e938
Author(s):  
Andrew T. Pennock ◽  
Eric W. Edmonds ◽  
Kathleen D. Rickert
Keyword(s):  
Pediatric Patients ◽  
Medial Epicondyle ◽  
Fixation Methods ◽  
Clinical Comparison ◽  
Biomechanical Evaluation

Open Reduction of Medial Epicondyle Fractures in the Pediatric Population

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Soroush Baghdadi ◽  
Daniel Weltsch ◽  
Alexandre Arkader ◽  
Kathleen Harwood ◽  
John T.R. Lawrence
Keyword(s):  
Open Reduction ◽  
Pediatric Population ◽  
Medial Epicondyle
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