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Medial approach

Main indication for medial approach in trauma

The main indications for a medial approach to the distal humerus are:

  • Open fixation of medial epicondylar fractures
  • Visualization of the medial epicondyle for safe K-wire insertion when using bilateral crossed K-wiring
  • Ulnar nerve exploration

Note: The medial approach, including opening of the joint, is not an ideal procedure for supracondylar fractures.