A Unique Case of Isolated Lateral Epicondyle Fracture in an Adolescent Boy
Abstract
Background: The lateral epicondyle fracture in children is a rare condition and only few cases have been reported in the literature. The isolated fracture without concomitant fracture/dislocation is even more uncommon, with unclear outcome and treatment approach.
Case Report: We present a case of an 11-year-old boy with restricted right elbow range of motion (ROM) after falling. The radiograph and computed tomography (CT) scan showed a displaced lateral epicondyle fracture without accompanying fracture or dislocation. Due to the stability of the joint and patient’s compliance, a closed reduction with Kirschner wires (K-wires) was selected for treatment. Follow-up results were satisfactory and showed no complications.
Conclusion: Closed reduction of dislocated lateral epicondyle fracture in children can result in acceptable outcomes.
2. Capo J, Khamsi B, Nourbakhsh A. Posterolateral instability of the elbow in an adolescent boy with a lateral epicondyle fracture: A case report. Hand (N Y). 2011;6(1):71-5. doi:
10.1007/s11552-010-9287-3. [PubMed: 22379442]. [PubMed Central: PMC3041873].
3. Rincon D, Guzmen R, Camacho J, Abril C. Elbow dislocation and lateral epicondyle fracture in a five year-old girl. Case report. Acta Ortop Mex. 2014;28(6):369-73. [PubMed: 26016289]. [In Spanish].
4. Lew V, Costumbrado J, Knight C. Lateral epicondyle fracture. JETem. 2018;3(2):V16-V17. doi: 10.21980/J8J05F.
5. Ando A, Hagiwara Y, Koide M, Yamashiro M, Matsuda M, Itoi E. Lateral dislocation of the elbow with concomitant lateral epicondyle fracture: A case report and review of the literature. J Orthop Sci. 2019;24(3):563-7. doi: 10.1016/j.jos.2016.12.028. [PubMed: 28162856].
6. Al-Kashmiri A, Sun K, Delaney JS. Lateral humeral epicondyle fracture secondary to avulsion of the anconeus muscle. Clin J Sport Med. 2007;17(5):408-9. doi: 10.1097/JSM.0b013e31814c3ec5. [PubMed: 17873558].
7. Zionts LE, Mirzayan R. Elbow stiffness following malunion of a fracture of the lateral epicondyle of the humerus in a child: A case report. J Bone Joint Surg Am. 2002;84(5):818-21. doi: 10.2106/00004623-200205000-00021. [PubMed: 12004028].
8. McLeod GG, Gray AJ, Turner MS. Elbow dislocation with intra-articular entrapment of the lateral epicondyle. J R Coll Surg Edinb. 1993;38(2):112-3. [PubMed: 8478830].
9. Fowles JV, Kassab MT. Fracture of the capitulum humeri. Treatment by excision. J Bone Joint Surg Am. 1974;56(4):794-8. [PubMed: 4835823].
Files | ||
Issue | Vol 6, No 1 (2020) | |
Section | Case Report | |
DOI | https://doi.org/10.18502/jost.v6i1.4538 | |
Keywords | ||
Avulsion Fracture; Humerus; Fracture Fixation |
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