Incarcerated fracture (avulsion) of medial epicondyle of left humerus, subsequent encounter for fracture with malunion Save

Incarcerated Fracture (Avulsion) of Medial Epicondyle of Left Humerus, Subsequent Encounter for Fracture with Malunion

An incarcerated fracture, also known as an avulsion fracture, occurs when a small piece of bone breaks away from the main bone due to the forceful pulling of a tendon or ligament. In the case of a medial epicondyle fracture of the left humerus, this refers to the fracture of the bony prominence on the inner side of the elbow.

During a subsequent encounter for fracture with malunion, the focus is on addressing the complications arising from a previous fracture that has not healed properly. Malunion refers to the improper alignment or healing of a fracture, leading to deformity or functional impairment.

When an incarcerated fracture of the medial epicondyle occurs, it can cause pain, swelling, and limited range of motion in the affected arm. It commonly affects children and adolescents, especially those involved in sports activities or accidents that involve a forceful pull on the arm.

Signs and symptoms

1. Pain and tenderness on the inner side of the elbow
2. Swelling and bruising around the elbow
3. Difficulty in moving the elbow or forearm
4. A popping or tearing sensation at the time of injury

Diagnosis and treatment

Diagnosing an incarcerated fracture of the medial epicondyle involves a physical examination, medical history review, and imaging tests such as X-rays or MRI scans. However, it's important to note that this article does not cover treatment options for this condition.

Complications: Fracture with malunion

When a fracture heals improperly, it can lead to malunion. This could result in various complications, including:

1. Deformity: The bone may heal in a misaligned position, causing visible deformity.
2. Functional impairment: Improper alignment can lead to limited range of motion, weakness, or difficulty in performing everyday activities.
3. Joint stiffness: Malunion may cause joint stiffness and reduced flexibility in the elbow.

Conclusion

An incarcerated fracture of the medial epicondyle of the left humerus can result in pain, swelling, and limited mobility. When the fracture does not heal properly, it can lead to malunion with associated complications. Proper diagnosis and appropriate treatment are essential to restore function and minimize long-term effects.