This protocol describes a multicenter, prospective randomized superiority trial of medial epicondyle fracture treatments comparing functional outcomes between children treated with operative reduction and fixation or non-operative immobilization.

Inclusion Criteria

• Provision of signed and dated informed consent form by parent or legal guardian and signed assent form if participant is older than 12 years.
• Stated willingness to comply with all study procedures and availability for the duration of the study
• Male or female, aged 7-17 years inclusive
• Diagnosis of medial epicondyle fracture with any amount of displacement
• Fracture is acute (occurred within 10 days of assignment of treatment arm)
• Ability to take oral medication and be willing to adhere to the immobilization regimen

Exclusion Criteria

• Medial epicondyle fragment that is incarcerated within joint
• Presence of other fractures about the ipsilateral elbow
• Presence of pathologic fracture, open fracture
• Have metabolic or neuromuscular diagnosis
• Patient and parents are unable to adhere to procedures or complete follow-up due to insufficient comprehension of consent form or surveys or developmental delay.

To learn more visit: https://clinicaltrials.gov/study/NCT05131672