Medial epicondyle avulsion fracture

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Fall on an outstretched right hand with the elbow in full extension

Patient Data

Age: 16 years
Gender: Male

Avulsion fracture of the medial humeral epicondyle with adjacent soft tissue swelling. No elbow dislocation or other associated fracture.

ultrasound

The ultrasound images show the displaced bony fragment as well as the hematoma/soft tissue swelling.

Case Discussion

Radiographic features of a medial epicondyle fracture, considered the most common avulsion injury of the elbow and typically seen in children and adolescents.

This radiographic appearance should not be confused with an un-united medial epicondyle ossification center in which:

  • the clinical examination is usually normal
  • the bony fragment is well-corticated
  • no associated joint effusion or adjacent soft tissue swelling

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