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Clinical Pathways promote evidence based, safe, and high-value care for patients by providing clinical recommendations and standard processes. They are developed by multidisciplinary committees of subject matter experts, informed by methodical review of available evidence and consensus among committee members.

Clinical Pathway:

Inclusion and exclusion criteria:

  • Inclusion:
    • Otherwise healthy children > 8 years of age
  • Exclusion:
    • Child with:
      • Medial epicondyle fracture with distal humerus fracture
      • Comorbidities, social or behavioral concerns for which atypical therapy plan is anticipated

Committee members involved in the development:

  • Kevin Latz, MD, MBA | Orthopaedic Surgery | Co-Committee Chair
  • Lisa Berglund, MD | Orthopaedic Surgery | Committee Member
  • Ryan Koehler, MD, MS | Orthopaedic Surgery | Committee Member
  • Jason Yoder, PT, DPT | Sports Physical Therapy | Co-Committee Chair
  • Andrew Melanson, PT, DPT, CSCS | Sports Physical Therapy | Committee Member

EBP committee members:

  • Todd Glenski, MD, MSHA, FASA | Anesthesiology, Evidence Based Practice
  • Kori Hess, PharmD | Evidence Based Practice

Publication dates:

  • Finalized date: 03/2024
  • Next expected revision date: 03/2027

If you have any questions regarding this content or identify a broken link, please email evidencebasedpractice@cmh.edu  

These pathways do not establish a standard of care to be followed in every case. It is recognized that each case is different, and those individuals involved in providing health care are expected to use their judgment in determining what is in the best interests of the patient based on the circumstances existing at the time. It is impossible to anticipate all possible situations that may exist and to prepare a pathway for each. Accordingly, these pathways should guide care with the understanding that departures from them may be required at times.