Can humeral medial epicondyle fracture be cured?

summary

Medial epicondylar fracture of humerus is the most common type of elbow injury, accounting for about 10% of elbow fractures, which is the third most common type of elbow injury after supracondylar fracture and lateral condylar fracture of humerus. Fractures mostly occur in adolescents and children. Can humeral medial epicondyle fracture be cured? Next, I'd like to share my views with you.

Can humeral medial epicondyle fracture be cured?

In addition to the first degree fractures, which are generally not displaced, other types of fractures are unstable after reduction and can be displaced again. In this case, closed pin fixation can be used; If there is rotation of the fracture piece and it is difficult to reduce by manipulations, percutaneous steel needle prying reduction can be used, and 1-2 Kirschner wires can be used for internal fixation. After operation, plaster support or super joint splint can be used for external fixation for 3-4 weeks.

It is suitable for the patients with obvious fracture separation, or the fracture piece embedded in the articular cavity is difficult to extricate, rotation and displacement can not be corrected, and ulnar nerve injury. Combined with ulnar nerve contusion should be examined, if more serious can be done at the same time ulnar nerve anterior surgery. After the operation, the plaster support was fixed for 4-5 weeks. The plaster support was removed and the steel needle was removed for functional exercise.

There was no need to reduce the displaced fracture of medial epicondyle of humerus. It was only fixed with long arm plaster support or super joint splint for 3-4 weeks. After removing the plaster or splint, functional exercise was performed. The fracture of degree Ⅱ or above should be treated with manipulative reduction, and the failure should be treated with operation.

matters needing attention

Pay attention to the safety of daily life, no other effective preventive measures. In particular, it should be noted that this disease is easy to be complicated with cubitus varus. Therefore, in addition to active treatment, we should also pay attention to the prevention of cubitus varus.