Supracondylar Fractures (Subscribe)  

A new /different method of pinning of the displaced extension type supracondylar fractures of the humerus in children is presented. Here two pairs of K wires are used. The fracture is reduced under C- arm image intensifier control and then two K wires are passed through lateral epicondyle and holding the reduction two...

Conclusion Closed reduction and lateral crossed pin fixation with ascending and descending K-wires buried under the skin is an effective method to treat type II and III supracondylar fractures in children. The method gives stability and avoids iatrogenic ulnar nerve injuries.
J Child Orthop. 2007 July; 1(2): 127–133. Full text Cross pinning of...

The purpose of this study was to evaluate the effects of delayed treatment of displaced supracondylar humerus fractures on the treatment results and complication rate.
Conclusions Delayed presentation of displaced supracondylar humerus fractures in children did not increase complication rates or unsatisfactory results following an open reduction. Medial approach and cross-pinning is...

This module shows step-by-step descriptions of
 

• Diagnosis
• Patient preparation
• Approaches
• Reduction & fixation
• Aftercare

for all distal humeral fractures of the AO classification system.
In addition, there are videos, animations, journal articles and book chapters.
 
Authored by David Ring, Daniel Rikli, Mariusz Bonczar; Executive editor: Chris Colton

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Method of traction for supracondylar fractures of the elbow in children

Supracondylar fractures are the most common pediatric elbow fracture and carry significant potential for neurovascular compromise [1-4]. These fractures of the distal humerus are frequently problematic in terms of diagnosis, treatment, and complications [1]. Proper care requires appropriate assessment and prompt orthopedic care for those patients whose fractures pose the...

Correspondence/discussion in relation to the above article with reference to a recommendation against closed reduction and casting. (full text)

Management of Displaced Supracondylar Fractures of the Humerus Using Lateral vs Crossed K-wires
This study is currently recruiting participants.
Verified by University of British Columbia, September 2010
First Received: July 28, 2006 Last Updated: September 21, 2010
Sponsor: University of British Columbia
Information provided by: University of British Columbia
ClinicalTrials.gov Identifier: NCT00358787
Purpose: Completely displaced...

Int Orthop. 2007 Apr;31(2):155-8 Sadiq MZ, Syed T, Travlos J.
Supracondylar fracture of the humerus is a common upper limb fracture in children for which treatment is controversial and often technically difficult, and complications are common. Cubitus varus is the most prevalent complication encountered in such fractures, with a mean incidence...

Wheeless'in children, supracondylar frxs typically remains extra-articular & involves thin bone between coronoid fossa & olecranon fossa of distal humerus; - frx line angles from anterior distal point to posterior prox site; ...

Supracondylar fractures of the humerus are a common pediatric elbow injury that are historically associated with morbidity due to malunion, neurovascular complications, and compartment syndrome. True anteroposterior and lateral radiographs are essential not only for an accurate diagnosis, but also for creating a treatment plan for these injuries. A staging...

Purpose Outcomes in children with supracondylar humerus fractures were stratified by type of treating orthopedic surgeon: pediatric orthopedic surgeon and nonpediatric orthopedic surgeon.
Results For the severe fractures, significantly more fractures were treated by open reduction in the pediatric orthopedic surgeon group than in the nonpediatric orthopedic surgeon group. There were no other...

Ulnar nerve injury following medial wire placement in percutaneous fixation of supraconylar humeral fractures is well recognised. We investigated techniques that may be used to minimise the occurrence and severity of nerve lesions when using percutaneous methods. 4 sheep post euthanasia had K-wires passed through percutaneous nerves before fixation to...

Seventy children with displaced type II and III supracondylar fractures of the humerus were managed with percutaneous lateral cross-wiring technique from January 2006 to January 2007. There were 54 boys and 16 girls with a mean age of 6.1 ± 3.07 years. All patients were operated within 24 h after...

A retrospective study of 85 children with displaced Gartland Type II and Type III supracondylar fractures of humerus admitted between February 1998 to September 2003 was carried out in Rustaq Hospital, Oman to review and analyze the neurovascular complications. The 83 patients were treated by closed reduction and crossed percutaneous...