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Diagnosis and management of medial epicondyle avulsion fracture in a 27-year-old female: A case report
Institution:1. Neuromuscular Rehabilitation Research Center, Semnan University of Medical Sciences, Semnan, Iran;2. Behavioral Sciences Research Center, Life Style Institute, Nursing Faculty, Baqiyatallah University of Medical Sciences, Tehran, Iran;1. Trauma Nursing Research Center, Kashan University of Medical Sciences, Kashan, Iran;2. Clemson University School of Nursing, Clemson, USA;3. Autoimmune Diseases Research Center, Kashan University of Medical Sciences, Kashan, Iran;1. Clinic of Physical Medicine and Rehabilitation, Çam and Sakura City Hospital, ?stanbul, Turkey;2. Department of Physical Medicine and Rehabilitation, Bezmialem University Faculty of Medicine, ?stanbul, Turkey;3. Department of Physical Medicine and Rehabilitation, Medipol University Faculty of Medicine, ?stanbul, Turkey;4. Department of Physical Medicine and Rehabilitation, High School of Physiotherapy, ?stanbul, Turkey;1. Course of Physical Education, Faculdade Santa Rita, Brazil;2. School of Physical Education, Physiotherapy and Occupational Therapy – Universidade Federal de Minas Gerais, Brazil;3. Department of Physical Education, Group of Study and Research in Physical Activity and Aging – Universidade Federal de Viçosa, Brazil;4. Department of Nutrition and Health – Universidade Federal de Viçosa, Brazil;1. Dept. of Ilaj bit tadbeer, NIUM, Bengaluru, 560091, India;2. Dept. of Tahaffuzi wa samaji Tib, NIUM, Bengaluru, 560091, India
Abstract:ObjectiveThe purpose of this case report is to describe the diagnosis and management of an adult patient presenting with a rarely reported avulsion fracture of the medial epicondyle of the humerus.Clinical presentationA 27-year-old female sought care following an injury sustained when the elbow gave out on an attempted back flip. The clinical assessment found an indication of elbow fracture with a diagnosis of medial epicondyle avulsion fracture made on radiographic examination.Intervention and outcomeFollowing in-house imaging, the patient was referred for an orthopedic consultation. An MRI was ordered and revealed numerous internal joint derangements. The orthopedist prescribed a hinged brace and followed up in 4 weeks. Physical therapy was ordered by the surgeon with follow-up again in 4 more weeks.ConclusionMedial epicondyle avulsion fractures are extremely rare in adults, and in this case, were accompanied by extensive internal joint derangements in the elbow. Chiropractors should be able to diagnose this condition from x-ray and can be of assistance with rehabilitation therapies.
Keywords:Avulsion fracture  Medial condyle  Conservative management
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