Medial Epicondyle Nonunions in Children: Case Report With Overview and Management

Up to 90% of medial epicondyle fractures treated with conservative measures result in nonunion. However, only 21% become symptomatic. The current case review discusses the history and treatment of a symptomatic medial epicondyle nonunion in a 14-year-old over a 2-year period. Initial conservative treatment was insufficient. However, open reduction and internal fixation afforded the patient a full resolution of symptoms with return to all activities at 10 weeks postoperatively. The patient remains asymptomatic more than 2 years after the initial injury. Open reduction and internal fixation achieved excellent outcomes in the treatment of a symptomatic medial epicondyle nonunion.