Case Report: An isolated medial condylar fracture of the distal humerus in an adolescent baseball pitcher - Summary - MDSpire

Case Report: An isolated medial condylar fracture of the distal humerus in an adolescent baseball pitcher

  • By

  • Shih-Feng Hung

  • Chih-Yuan Jen

  • Yu-Pao Hsu

  • Ming-Te Cheng

  • Yu-Hsu Chen

  • July 13, 2026

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Objective:

To provide a potential explanation for the pathomechanism of an isolated medial condylar fracture of the distal humerus induced by the throwing motion.

Approach:
  • Case Presentation: A 17-year-old male experienced an isolated medial condylar fracture of the distal humerus after pitching. Diagnosis was confirmed via X-ray, and the patient underwent open reduction and internal fixation.
  • Surgical Procedure: Open reduction was performed through a medial approach, ensuring protection of the ulnar nerve. A locking compression plate was used for fixation.
  • Follow-Up: Postoperative recovery showed intact neurovascular status. At three months, the patient regained full strength and range of motion, with complete bone healing observed.
Key Findings:
  • This case is the first report of an isolated medial condylar fracture of the distal humerus induced by the throwing motion.
  • The throwing motion can induce such fractures due to torsional forces exerted by muscles.
  • The patient's recovery was successful, allowing a return to sports without complications.
Interpretation:

The study provides a potential explanation for the pathomechanism behind isolated medial condylar fractures in young athletes.

Limitations:
  • The study is based on a single case report, limiting generalizability.
  • Long-term outcomes beyond the initial follow-up period are not fully documented.
Conclusion:

The findings suggest that throwing motions can lead to isolated medial condylar fractures, highlighting the need for awareness in young athletes.

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