© Copyright 2026 American Medical Association. All rights reserved.
Closed treatment of a medial or lateral epicondylar fracture of the humerus involves a non-invasive approach to manage fractures located at the bony projections known as the medial and lateral epicondyles, which are situated at the distal end of the humerus. These types of fractures are classified as extra-articular, meaning they occur outside of the joint space and do not extend into the joint itself. The procedure is specifically indicated for nondisplaced fractures, where the bone fragments remain in their normal anatomical position and do not require any manipulation to realign them. Prior to the treatment, radiographs, or X-rays, are obtained to confirm the presence of the fracture and to assess its characteristics. A thorough neurovascular examination is also conducted to ensure that the nerves and blood vessels surrounding the fracture site are intact and functioning properly. Following the evaluation, the arm is immobilized using a long arm posterior splint, sugar tong splint, or a long arm cast to provide stability and support during the healing process. This method of treatment is essential for promoting proper recovery while minimizing the risk of complications associated with the fracture.
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