Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Oct 25;9(10):e04982.
doi: 10.1002/ccr3.4982. eCollection 2021 Oct.

A missed medial humeral epicondyle fracture with incarcerated fragment in the elbow joint and ulnar nerve palsy: A rare case report

Subhash Kumar Das  1 , Sujan Bohara  2 , Ravi Bhandari  1 , Ritesh Sinha  1 , Bikash Das  3 , Samikshya Karki  2
Affiliations
Case Reports

A missed medial humeral epicondyle fracture with incarcerated fragment in the elbow joint and ulnar nerve palsy: A rare case report

Subhash Kumar Das et al. Clin Case Rep. .

Abstract

Medial epicondyle fracture associated with incarcerated intra-articular fragment and ulnar nerve palsy is uncommon and frequently missed. We report a case of 13-year-old boy with incarcerated medial epicondyle fracture fragment in ulnohumeral joint and ulnar nerve palsy, which was managed successfully by open reduction internal fixation and ulnar nerve transposition.

Keywords: elbow joint; incarcerated; medial epicondyle fracture; ulnar nerve palsy; ulnohumeral joint.

PubMed Disclaimer

Conflict of interest statement

None.

Figures

FIGURE 1
FIGURE 1
(A) Preoperative photograph showing clawing of ring and little finger with wasting of hypothenar eminence and (B) post‐operative photograph showing complete resolution of claw hand and hypothenar wasting
FIGURE 2
FIGURE 2
Initial plain radiographs of the right elbow. AP (2A) and Lateral (2B) radiograph shows medial epicondyle fracture (hollow arrow) with intra‐articular incarcerated fragment (solid arrow) which was missed on initial interpretation of the radiograph
FIGURE 3
FIGURE 3
CT‐3D construction of right elbow joint showing medial epicondyle fracture with lodged intra‐articular fragments
FIGURE 4
FIGURE 4
Immediate postoperative Plain X‐ray Antero‐posterior (A) and lateral view (B)
FIGURE 5
FIGURE 5
Intra‐operative image showing constricted segment of ulnar nerve
See this image and copyright information in PMC

Similar articles

See all similar articles

References

    1. Gottschalk HP, Eisner E, Hosalkar HS. Medial epicondyle fractures in the pediatric population. J Am Acad Orthop Surg. 2012;20(4):223‐232. - PubMed
    1. Ramsey RW, Herman MJ. Medial epicondyle fractures. In: Abzug JM, Herman MJ, eds. Pediatric Elbow Fractures. Springer. 2018;95‐109.
    1. Lima S, Correia JF, Ribeiro RP, et al. A rare case of elbow dislocation associated with unrecognized fracture of medial epicondyle and delayed ulnar neuropathy in pediatric age. J Shoulder Elbow Surg. 2013;22(3):e9‐e11. - PubMed
    1. El‐Sobky TA, Haleem JF, Sakr HM, Aly AS. A neglected markedly displaced medial epicondyle fracture with simultaneous ulnar nerve palsy in an adolescent. Clin Orthop Surg. 2017;9(4):542‐546. - PMC - PubMed
    1. Haflah NHM, Ibrahim S, Sapuan J, Abdullah S. An elbow dislocation in a child with missed medial epicondyle fracture and late ulnar nerve palsy. J Pediatr Orthop B. 2010;19(5):459‐461. - PubMed

Publication types

LinkOut - more resources