Published in:
Open Access 01-12-2014 | Case report
Extraction of incarcerated medial epicondyle from the elbow joint using conventional nerve stimulator: a case report
Published in: Journal of Medical Case Reports | Issue 1/2014
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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.