Extraction of incarcerated medial epicondyle from the elbow joint using conventional nerve stimulator: a case report

Sara Dorman, Sankur Sripada, Ben A. Clift, Arpit Jariwala (Lead / Corresponding author)

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    Abstract

    Introduction

    Incarceration of the medial epicondyle is a well-recognised sequelae following closed reduction of the elbow. Manipulation for extraction is not usually successful and hence an incarcerated medial epicondyle is usually an indication for open reduction and fixation.
    Case presentation

    We describe a simple technique of closed reduction using a conventional nerve stimulator to extract an incarcerated medial epicondyle in a 13-year-old Caucasian boy. This technique uses contraction of the attached common flexor muscles to indirectly extract the trapped medial epicondyle.
    Conclusions

    This is a simple technique using a commonly available nerve stimulator and may obviate the need for extensile open reduction for extraction of the incarcerated medial epicondyle. We would recommend this technique where closed reduction methods have failed.
    Original languageEnglish
    Article number329
    Number of pages3
    JournalJournal of Medical Case Reports
    Volume8
    DOIs
    Publication statusPublished - Oct 2014

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