Introduction There is widespread uncertainty about the best way to treat a fracture of the medial epicondyle of the elbow in children and adolescents.1,2 This uncertainty has prompted the British Society for Children’s Orthopaedic Surgery (BSCOS) to make this their number one trauma research priority.3 To address this, there is an ongoing UK-wide multicentre prospective randomized superiority trial of operative fixation versus nonoperative treatment for medial epicondyle fractures of the...