Medial Epicondyle & Condyle Fractures of the Humerus

  • Valgus force with pulling off of the flexor wad
  • Frequently associated with posterolateral dislocation

Classification

TypeClassification
IMinimally displaced < 2 mm
IIModerately displaced
IIIInto joint
IVAssociated with a posterolateral dislocation of the elbow
Rang Classification of Medial Condylar Humeral Fractures

Treatment

Closed Treatment

  • If minimally displaced

Operative Indications

  • Medial epicondyle trapped in joint
  • Ulnar nerve injury
  • Displaced valgus instability in an athlete

Controversial – whether to fix moderately displaced