Spontaneous Reduction of Incarcerated Medial Epicondyle Fragment: A Report of 3 Cases and Review of the Literature.

CASE: Three cases of incarcerated medial epicondyle fracture with spontaneous reduction without operative manipulation are presented. Two patients were treated conservatively, and one treated surgically, all with good clinical outcomes.

CONCLUSION

Elbow dislocation is a common pediatric injury. Over half have an associated medial epicondyle fracture, which can become incarcerated in the joint. Elbow dislocation with intra-articular incarceration of the medial epicondyle has historically been an indication for prompt surgical intervention. These cases suggest good outcomes with spontaneous reduction are possible without operative intervention, opening opportunities for further research into absolute indications for surgery.