Medial epicondyle avulsion after elbow dislocation in an adolescent non-professional soccer player treated with a cannulated screw: a case report

Medial epicondyle avulsion after elbow dislocation in an adolescent non-professional soccer player treated with a cannulated screw: a case report

Authors

  • Alessio Pedrazzini SSD Ortopedia e Traumatologia , Ospedale Oglio Po, Casalmaggiore (CR)
  • Alberto Visigalli Orthopaedic and Traumatology Clinic. Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Piergiulio Valenti Orthopaedic and Traumatology Clinic. Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Nicola Bertoni Orthopaedic Unit, Oglio Po Hospital, Vicomoscano (CR), Italy
  • Henry Yewo Simo Orthopaedic Unit, Oglio Po Hospital, Vicomoscano (CR), Italy
  • Roberto Bisaschi Roberto Bisaschi
  • Vanni Medina Orthopaedic Unit, Oglio Po Hospital, Vicomoscano (CR), Italy
  • Bianca Pedrabissi Orthopaedic Unit, Oglio Po Hospital, Vicomoscano (CR), Italy
  • Francesco Ceccarelli Orthopaedic and Traumatology Clinic. Department of Medicine and Surgery, University of Parma, Parma, Italy
  • Francesco Pogliacomi Orthopaedic and Traumatology Clinic. Department of Medicine and Surgery, University of Parma, Parma, Italy

Keywords:

elbow, dislocation, medial epicondyle, reduction, fixation, screw, outcome

Abstract

Background and aim of the work: Medial epicondyle fractures of the humerus account for 11–20% of
all elbow injuries in children and in 30–55% of cases they are associated with an elbow dislocation. Undisplaced
fractures are usually treated conservatively but literature is controversial regarding the treatment of displaced
fractures (≥5mm) in paediatric fractures. In recent years, there is an emerging consensus that such patients may benefit more from open reduction and internal fixation. Authors report a case of a 15 years old nonprofessional soccer player who suffered of an elbow dislocation with an intra-articular fragment derived from avulsion of the medial epicondyle. Methods: Clinical and instrumental evaluation confirmed elbow dislocation with an intra-articular fragment derived of the medial epicondyle. After the reduction an open reduction and internal fixation with cannulated screw was performed. Results: Clinical evaluation after 90 days showed resolution of pain and almost complete ROM and complete recovery of strength and of functionality of the operated limb. Furthermore, x-rays demonstrated consolidation of the fracture. Conclusions: this case confirms that a precise evaluation of the fracture and its displacement is at the base of satisfactory outcomes. If fracture is displaced≥5mm and patient is near skeletal maturity open reduction and fixation is indicated.

Author Biography

Alessio Pedrazzini, SSD Ortopedia e Traumatologia , Ospedale Oglio Po, Casalmaggiore (CR)

specialista in ortopedia e traumatolgia, specialista in idrologia medica, master in Chirurgia della Mano, diploma di Tecniche Microchirurgiche, professore a  contratto dell'Università di Parma

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Published

30-05-2020

How to Cite

1.
Pedrazzini A, Visigalli A, Valenti P, Bertoni N, Yewo Simo H, Bisaschi R, et al. Medial epicondyle avulsion after elbow dislocation in an adolescent non-professional soccer player treated with a cannulated screw: a case report . Acta Biomed [Internet]. 2020 May 30 [cited 2024 Jul. 17];91(4-S):271-5. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/9578