Abstract
Supracondylar humeral fractures are the most common elbow fractures in children and represent 3 % of all paediatric fractures. The most common cause is a fall onto an outstretched hand with the elbow in extension, resulting in an extension-type fracture (97–99 % of cases). Currently, the Gartland classification is used, which has treatment implications. Diagnosis is based on plain radiographs, but accurate imaging could be limited due to patient pain. Based on fracture type, the definitive treatment could be either non-operative (type I) or operative (type III/IV); however, when handling type II fractures controversy remains. Neither pin configuration have shown higher efficacy over the other. Complications are ~1 %, the most common being pin migration, with compartment syndrome as the most devastating. Overall, functional outcomes are good, and physical therapy does not appear to be necessary.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 2287-2296 |
| Number of pages | 10 |
| Journal | International Orthopaedics |
| Volume | 39 |
| Issue number | 11 |
| DOIs | |
| State | Published - Aug 28 2015 |
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Keywords
- Anterior humeral line
- Baumann angle
- Compartment syndrome
- Infection
- Pin configuration
- Pin migration
- Supracondylar humeral fractures
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
Cite this
Supracondylar humeral fractures in children : current concepts for management and prognosis. / Zorrilla S. de Neira, Jaime; Prada-Cañizares, Alfonso; Marti-Ciruelos, Rafael; Pretell, Juan Abelardo Augusto.
In: International Orthopaedics, Vol. 39, No. 11, 28.08.2015, p. 2287-2296.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Supracondylar humeral fractures in children
T2 - current concepts for management and prognosis
AU - Zorrilla S. de Neira, Jaime
AU - Prada-Cañizares, Alfonso
AU - Marti-Ciruelos, Rafael
AU - Pretell, Juan Abelardo Augusto
PY - 2015/8/28
Y1 - 2015/8/28
N2 - Supracondylar humeral fractures are the most common elbow fractures in children and represent 3 % of all paediatric fractures. The most common cause is a fall onto an outstretched hand with the elbow in extension, resulting in an extension-type fracture (97–99 % of cases). Currently, the Gartland classification is used, which has treatment implications. Diagnosis is based on plain radiographs, but accurate imaging could be limited due to patient pain. Based on fracture type, the definitive treatment could be either non-operative (type I) or operative (type III/IV); however, when handling type II fractures controversy remains. Neither pin configuration have shown higher efficacy over the other. Complications are ~1 %, the most common being pin migration, with compartment syndrome as the most devastating. Overall, functional outcomes are good, and physical therapy does not appear to be necessary.
AB - Supracondylar humeral fractures are the most common elbow fractures in children and represent 3 % of all paediatric fractures. The most common cause is a fall onto an outstretched hand with the elbow in extension, resulting in an extension-type fracture (97–99 % of cases). Currently, the Gartland classification is used, which has treatment implications. Diagnosis is based on plain radiographs, but accurate imaging could be limited due to patient pain. Based on fracture type, the definitive treatment could be either non-operative (type I) or operative (type III/IV); however, when handling type II fractures controversy remains. Neither pin configuration have shown higher efficacy over the other. Complications are ~1 %, the most common being pin migration, with compartment syndrome as the most devastating. Overall, functional outcomes are good, and physical therapy does not appear to be necessary.
KW - Anterior humeral line
KW - Baumann angle
KW - Compartment syndrome
KW - Infection
KW - Pin configuration
KW - Pin migration
KW - Supracondylar humeral fractures
UR - http://www.scopus.com/inward/record.url?scp=84945442979&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84945442979&partnerID=8YFLogxK
U2 - 10.1007/s00264-015-2975-4
DO - 10.1007/s00264-015-2975-4
M3 - Article
C2 - 26311512
AN - SCOPUS:84945442979
VL - 39
SP - 2287
EP - 2296
JO - International Orthopaedics
JF - International Orthopaedics
SN - 0341-2695
IS - 11
ER -