Case S L, Hennrikus W L
Department of Orthopaedic Surgery, Naval Hospital, San Diego, California, USA.
Am J Sports Med. 1997 Sep-Oct;25(5):682-6. doi: 10.1177/036354659702500516.
Eight adolescent athletes (average age, 11 years; range, 9 to 15) underwent open reduction and internal fixation of acute, displaced medial epicondyle fractures. Fixation was achieved with a screw and washer. Four patients (50%) had associated elbow dislocations. Elbow motion in a brace was initiated 4 days after surgery. The brace allowed full flexion and extension but protected the elbow against valgus stress. Bracing was continued for 4 weeks. The average duration of followup was 10 months (range, 6 to 13). All fractures united, and full motion was achieved in seven patients. One patient lost 5 degrees of hyperextension compared with the opposite elbow. All eight elbows were stable to valgus stress and were pain-free. All patients returned to full sports activity.
八名青少年运动员（平均年龄11岁；范围9至15岁）接受了急性移位性内上髁骨折的切开复位内固定术。采用螺钉和垫圈进行固定。四名患者（50%）伴有肘关节脱位。术后4天开始使用支具进行肘关节活动。该支具允许肘关节完全屈伸，但可保护肘关节免受外翻应力。支具佩戴持续4周。平均随访时间为10个月（范围6至13个月）。所有骨折均愈合，七名患者恢复了完全活动度。一名患者与对侧肘关节相比，伸直过度减少了5度。所有八个肘关节对外翻应力均稳定且无疼痛。所有患者均恢复了全面的体育活动。
