UPPER EXTREMITYThe isolated medial humeral epicondyle fracture treated nonoperatively does fracture displacement change over time?Lim, Kevin Boon Leonga; Woo, Chin Yeea; Chong, Xue Linga; Ul-Alam, Shehaba; Allen, John C. JrbAuthor Information aDepartment of Orthopaedic Surgery, KK Women’s & Children’s Hospital bOffice of Clinical Sciences, Centre for Quantitative Medicine, Duke-NUS Graduate Medical School, Singapore, Singapore Correspondence to Kevin Boon Leong Lim, FRCS(Eng), FRCSEd(Orth), FAMS(Orthopaedic Surgery), Department of Orthopaedic Surgery, Division of Surgery, KK Women’s & Children’s Hospital, 100 Bukit Timah Road, Singapore 229899, Singapore Tel: +65 639 48988; fax: +65 629 19232; e-mail: [email protected] Journal of Pediatric Orthopaedics B: May 2015 - Volume 24 - Issue 3 - p 184-190 doi: 10.1097/BPB.0000000000000136 Buy Metrics Abstract This study explores the change in the position of the fragment in isolated, displaced, medial humeral epicondyle fractures in children. In this series, 34 patients (mean age 11.0 years) were treated nonoperatively by cast immobilization with no attempt at closed fracture reduction. A statistically significant association was found between the position of the fracture fragment at the time of initial fracture compared with 3 weeks after fracture (P=0.015). Twenty-six of 34 patients (76.5%) showed spontaneous improvement in fragment position. These findings support the practice of treating significantly displaced medial epicondyle fractures nonoperatively. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.