ORTHOPEDICS: Edited by Daniel W. GreenPaediatric medial humeral epicondyle fracture management: 2019 approachFirth, Amy M.; Marson, Ben A.; Hunter, James B.Author Information Department of Trauma and Orthopaedics, Queen's Medical Centre, Nottingham, UK Correspondence to James B. Hunter, BA, FRCSEd(Orth), Department of Trauma and Orthopaedics, Queen's Medical Centre, Nottingham, UK. Tel: +44 115 924 9924 x63244; e-mail: [email protected] Current Opinion in Pediatrics: February 2019 - Volume 31 - Issue 1 - p 86-91 doi: 10.1097/MOP.0000000000000707 Buy Metrics Abstract Purpose of review The management of displaced medial humeral epicondyle fractures in children remains controversial. The indications for surgery, the ideal surgical strategy and the implications of a painful nonunion remain unclear. Recent findings This article describes the state of the evidence and the art in the management of medial humeral epicondyle fractures concentrating on recent research and current opinion. Treatment of paediatric medial epicondylar fractures of the elbow remains the domain of expert opinion and subject to great variance. Anatomical, biomechanical and computer simulation models suggest great importance should be given to the medial epicondyle and the structures, which insert onto it. However, this does not correlate with outcomes as reported by patients, parents and surgeons. Summary The question of which paediatric medial humeral epicondylar fractures benefit from operative fixation remains unanswered. A large randomized prospective trial is required. Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved.