ARTICLE
TITLE

Does computerized tomography change the treatment decision in pediatric medial epicondyle fractures?

SUMMARY

The amount of displacement in medial epicondylar fracture is one of the most important criteria for treatment decision. The displacement of medial epicondyle fractures of the humerus may be underestimated by standard AP and lateral views of elbow. The aim of the current study is to show the clinical relavance of computerized tomography (CT) for medial epicondyle fractures.A retrospective analysis; on patients with medial epicondyle fracture; was performed.Measurement was made from 9 reviewer, for 12 case,on both radiographs and CT. The difference between measurement of AP Xray and frontal and axial CT scans was found statistically significant for both 1st and 2nd assessments(p=0.001). Treatment decision for operative treatment was found statistically higher after evaluation with CT for both first and second assessment.(p=0,0001). CT had great relavance on treatment decision for pediatric medial epicondylar fractures. There is also much better interobserver agreement for axial CT scans for treatment decision.   

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