Fracturas desplazadas de epicóndilo medial. Revisión bibliográfica sistematizada

Rodrigo Matías Fratelli Álvarez; Viviana Teske; Alejandro Cuneo

Authors

Rodrigo Matías Fratelli Álvarez Universidad de la República, Facultad de Medicina, Clínica de Traumatología y Ortopedia Pediátrica
Viviana Teske Universidad de la República, Facultad de Medicina, Clínica de Traumatología y Ortopedia Pediátrica
Alejandro Cuneo Universidad de la República, Facultad de Medicina, Clínica de Traumatología y Ortopedia Pediátrica

Keywords:

HUMERAL FRACTURES, ELBOW JOINT, CHILD

Abstract

Introduction:

fractures of medial epicondyle represent 12 to 20% of pediatric elbow fractures. Treating fractures with greater than 2 mm of displacement is a matter of debate. The study aims to review indications and results of the different treatments indicated for fractures of medial epicondyle with greater than 2 mm of displacement.

Method:

the PubMed and Bireme electronic data bases were used. Search revealed 313 articles, 9 of which met the inclusion criteria set upon initiation of the study.

Discussion:

imaging techniques used and their diagnostic yield were compared, as well as the different of treatments and complications.

Conclusion:

treatment should not be defined based on the fracture’s displacement, but rather on the trauma energy and the valgus stability of the elbow. Excellent results were reported both with a conservative treatment and with a surgical approach to displaced fractures of medial epicondyle. Comparative studies need to be done with long term follow-up that is well recorded to recommend the right treatment for displaced fractures of medial epicondyle.