Osteochondrosis / Stress Frx of Medial Epicondyle

- See: Pediatric Elbow Injuries 
- Discussion: 
- a traction apophysisitis of the medial epicondyle which needs to be distinguished from avulsion frx of the medial epicondyle 
- the medial epicondyle is an apophysis which is connected to the MCL as well as being connected to the flexor-pronator mass; 
- both of these structures will stress the apophysis w/ valgus stress; 
- radiographs: 
- medial epicondyle fuses at age 17 years; 
- look for fatigue fractures of the medial epicondyle: 
- enlargement and fragmentation of the apophysis may be seen; 
- treatment: 
- a true apophysisitis of the medial epicondyle is treated non-operatively w/ rest ands strict avoidance of throwing activities; 
- a displaced traction apophysisitis is more consistent w/ a avulsion frx of the medial epicondyle and may need to be treated operatively




Original Text by Clifford R. Wheeless, III, MD.

Last updated by Data Trace Staff on Monday, September 12, 2011 1:38 pm