Correlation Between Bauman's and Carrying Angle in Children with Supracondylar Fracture of Humerus

Smajic, Nedim; Smajic, Jasmina; Šadić, Sahmir; Jasarevic, Mahir; Ahmetovic-Djug, Jasmina; Hodžić, Renata

doi:10.5455/medarh.2013.67.195-197

Cited by 11 publications

(6 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The population normal is 64°-81° and angles in excess of this suggests varus angulation of the distal humerus [47] with measurement errors of up to 7° to be anticipated [48]. This measurement, whilst not identical to the carrying angle is a reasonable surrogate and can be used to predict cubitus varus deformity [49,50].…”

Section: Radiographic Assessmentmentioning

confidence: 93%

Overview of the contemporary management of supracondylar humeral fractures in children

Duffy¹,

Oliver²,

Gelfer

et al. 2021

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

Purpose Supracondylar fractures are common injuries accounting for approximately 15% of all fractures in children with a large body of literature on this subject. Methods This article critically appraises the available evidence to provide an overview of the treatment options including the role and timing of surgery, the geometry of wire fixation and the management of nerve and arterial injury. Conclusion Management decisions are based on a number of considerations particularly fracture stability. Closed reduction and percutaneous K-wire stabilisation are commonly recommended for an unstable displaced fracture. These techniques are however associated with the potential for iatrogenic neurological injury. Vascular injury is also rare but must be recognised and treated promptly to avoid significant permanent morbidity.

show abstract

Section: Radiographic Assessmentmentioning

confidence: 93%

Overview of the contemporary management of supracondylar humeral fractures in children

Duffy¹,

Oliver²,

Gelfer

et al. 2021

Eur J Orthop Surg Traumatol

View full text Add to dashboard Cite

show abstract

“…A third line was drawn along the lateral condylar physis. The angle between the first line and the third line was recorded as Baumann’s angle [ 21 ].…”

Section: Methodsmentioning

confidence: 99%

A Study of Factors Associated With Carrying Angle of the Human Elbow in Pediatric Age Group

Kushwaha¹,

Verma²,

Singh³

et al. 2022

Cureus

View full text Add to dashboard Cite

Purpose This prospective cohort study aims to determine the factors that are associated with the carrying angle of the human elbow in the pediatric age group. Methods One hundred forty children up to 15 years of age were assessed for age, sex, forearm lengths of both sides, arm length of both sides, trans-trochanteric diameter, height, BMI, the inter-epicondylar distance of both sides, Baumann’s angle of both sides, presence or absence of secondary sexual characteristics, clinical carrying angle (CCA) of both sides, and radiological carrying angle (RCA) of both sides. Unpaired t-test was used to compare the means of carrying angle in the unrelated groups, namely gender and secondary sexual characteristics. The strength and direction of the relationship between carrying angle and continuous variables were tested by calculating Pearson’s correlation. Variables found to be associated with carrying angle at significance level >0.25 on bi-variable analysis were used to design a linear regression model to identify factors associated with carrying angle. Results The mean age was 5.84±4.76 years. Ninety-eight (70%) were males, and forty-two (30%) were females. The mean CCA on the right side was 8.55±2.01. The mean CCA on the left side was 8.77±2.03. The mean RCA on the right side was 8.85±2.09. The mean RCA on the left side was 9.07±2.13. On bi-variable analysis, the CCA was found to be associated with age, secondary sexual characteristics, weight, height, arm length, forearm length, inter-epicondylar distance, trans-trochanteric distance, and Baumann’s angle. CCA was found to be significantly negatively correlated with BMI. On multivariate linear regression, the CCA was found to be associated with age and inter-epicondylar distance. Conclusion Age and inter-epicondylar distance are the true associations of carrying angle.

show abstract

“…In a review of the literature by Pretell-MazziniJ et al, Baumann's angle values were available in only few articles that expressed either as an absolute value or like a loss of angle [13]. Most authors determine the change in Baumann's angle as statistically insignificant [14][15][16][17]. Foead A et al, note that only satisfactory reduction based on carrying angle and Baumann's angle assessed in an operating room were accepted.…”

Section: Discussionmentioning

confidence: 99%

Preliminary view on new roentgenologic trochleocapitellar index for assessment accuracy of the reduction supracondylar fracture of the elbow in children to comparison Baumann's angle

Gorelick¹,

Gelman²,

Rozano-Gorelick³

et al. 2015

J Rheumatol Orthop

View full text Add to dashboard Cite

BackgroundsAngulations deformity (cubitus varus and valgus) is the most common complication of displaced supracondylar fractures. Most deformity seems to be related to coronal plane angulations [1]. It should also be appreciated that rotation of the distal fragment often worsens varus and valgus angulations [2]. The deformity results from two factors: primary mal-reduction of the fracture and the limited remodelling in the coronal plane [3]. Prevention of angulations depends on the accurate reduction of the fracture. The gold standard in clinical practice, today, is an assessment of reduction quality using Baumann's angle. Baumann's angle formed by the intersection of a line drawn down the humeral axis and a line drawn along the growth plate of the capitellum of the elbow [4]. This angle correlates closely with the carrying angle [5]. The mean Baumann's angle is 72°±4°. The new TCI of the elbow is the ratio between the smaller trochlear and larger capitellar angles of the measured elbow (Figure 1). The rationale is that an index based on the AbstractBackground: In children supracondylar fracture of the humorous is one of the most common fractures in the first decade of life. This study was conducted to establish the efficacy and the accuracy of a new own method for measuring the Trochleocapitellar index (TCI) in the management of supracondylar humeral fracture in children versus Baumann's angle. Methods: This study made on base AP elbow radiograms and clinical charts of 54 children that were treated due to supracondylar fracture of the elbow. Cases included were of either gender with age range from four to 13 years with a supracondylar fracture presenting within 72 hours of the reduction. Outcome measures: Two measure roentgen logic modalities studied for comparison: Baumann's angle and TCI were taken into consideration when examining the AP roentgenograms (immediately after the reduction and during 1-3 months thereafter). Results: During 1-3 months after the reduction Baumann's angle modality gave normal results in 51 (94.4%), valgus result in one (1.9%) and varus result in two (3.7%) patients. While TCI showed normal results in 31 (57.4%), valgus result in one (1.9%) and varus results in 22 (40.7%) patients. Correlation was found between the measurements of the normal Baumann's angle and normal TCI immediately after fracture reduction (r=0.75, p<0.001) and on the period between one to three months follow-up (r=0.54, p<0.001). TCI was found as more accurate for detection of cubitus varus. Conclusions: Authors recommends post reduction measurement of the TCI in supracondylar fractures to determine the adequacy of reduction.

show abstract

Correlation Between Bauman's and Carrying Angle in Children with Supracondylar Fracture of Humerus

Abstract: supracondylar fracture,

Cited by 11 publications

References 7 publications

Overview of the contemporary management of supracondylar humeral fractures in children

Overview of the contemporary management of supracondylar humeral fractures in children

A Study of Factors Associated With Carrying Angle of the Human Elbow in Pediatric Age Group

Preliminary view on new roentgenologic trochleocapitellar index for assessment accuracy of the reduction supracondylar fracture of the elbow in children to comparison Baumann's angle

Contact Info

Product

Resources

About