Presentation
Elbow pain after fall from height.
Patient Data
Age: 8 years
Gender: Female
From the case:
Medial epicondyle avulsion fracture
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The medial epicondyle is avulsed and is severely medially displaced. Marked posteromedial soft tissue swelling.
From the case:
Medial epicondyle avulsion fracture
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CT confirms the severely displaced medial epicondyle avulsion fracture and marked soft tissue swelling. Small joint effusion is also present.
From the case:
Medial epicondyle avulsion fracture
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Intra-operative image intensifier shows treatment with internal fixation with a single screw.
Case Discussion
Medial epicondyle fractures are the most common elbow avulsion injuries in children. Careful consideration of the other ossifications should be performed, the trochlear ossification center is difficult to see on the x-ray but clearly present on the CT.