Casting vs Surgical Treatment of Children With Medial Epicondyle Fractures: A Randomized Clinical Trial.

ABSTRACT:

Importance

Displaced pediatric medial humeral epicondyle fractures are traditionally treated nonoperatively with casting. However, the use of surgical treatment has increased despite limited high-level evidence supporting its benefits.

Objective

To determine whether open surgical reduction and internal fixation improve functional outcomes compared with long arm casting in children with displaced medial humeral epicondyle fractures at 12 months post injury.

Design, setting, and participants

This noninferiority randomized clinical trial was conducted in 4 university hospitals in Finland between August 30, 2019, and August 22, 2023, with a 12-month follow-up completed August 20, 2024. Participants included children (aged 7-16 years) with nonincarcerated medial humeral ep

SUBMITTER: Grahn P 

PROVIDER: S-EPMC12056563 | biostudies-literature | 2025 May

REPOSITORIES: biostudies-literature