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01.12.2014 | Case report | Ausgabe 1/2014 Open Access

Journal of Medical Case Reports 1/2014

Extraction of incarcerated medial epicondyle from the elbow joint using conventional nerve stimulator: a case report

Journal of Medical Case Reports > Ausgabe 1/2014
Sara Dorman, Sankur Sripada, Ben A Clift, Arpit Jariwala
Wichtige Hinweise

Electronic supplementary material

The online version of this article (doi:10.​1186/​1752-1947-8-329) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare that they have no competing interests.

Authors’ contributions

AJ and SS were involved with the management of the case. SD reviewed the literature. SD, AJ, and SS were involved in writing the report. BC was the surgeon in charge of the case and helped in editing the report. All authors read and approved the final manuscript.



Incarceration of the medial epicondyle is a well-recognised sequelae following closed reduction of the elbow. Manipulation for extraction is not usually successful and hence an incarcerated medial epicondyle is usually an indication for open reduction and fixation.

Case presentation

We describe a simple technique of closed reduction using a conventional nerve stimulator to extract an incarcerated medial epicondyle in a 13-year-old Caucasian boy. This technique uses contraction of the attached common flexor muscles to indirectly extract the trapped medial epicondyle.


This is a simple technique using a commonly available nerve stimulator and may obviate the need for extensile open reduction for extraction of the incarcerated medial epicondyle. We would recommend this technique where closed reduction methods have failed.

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