The online version of this article (doi:10.1186/1752-1947-8-329) contains supplementary material, which is available to authorized users.
The authors declare that they have no competing interests.
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.
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.
Purser DW: Dislocation of the elbow and inclusion of the medial epicondyle in adults. J Bone Joint Surg Br. 1954, 36 (2): 247-249. PubMed
Fowles JV, Kassab MT: Displaced fractures of the medial humeral condyle in children. J Bone Joint Surg Am. 1980, 62 (7): 1159-1163. PubMed
Hines RF, Herndon WA, Evans JP: Operative treatment of medial epicondyle fractures in children. Clin Orthop Relat Res. 1987, 223: 170-174. PubMed
- Extraction of incarcerated medial epicondyle from the elbow joint using conventional nerve stimulator: a case report
Ben A Clift
- BioMed Central