Current Management of Paediatric Supracondylar Fractures of the Humerus

Shenoy, Pritom M; Islam, Amirul; Puri, Rahul

doi:10.7759/cureus.8137

Cited by 27 publications

(31 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Furthermore, the assessment using Flynn's criteria showed no significant difference between the outcomes of both treatment groups (p=0.242). [15][16][17][18] Flynn's criteria in the early group showed excellent and good results in 77.2%, and 13.6% cases, respectively, while 10% exhibited poor outcome. Moreover, the corresponding results for the late group were 73.1 %, 15.3% and 11.5% cases.…”

Section: Discussionmentioning

confidence: 91%

“…20 The results showed a nonexistence of non-union cases in both groups, as the distal humerus is an unusual location. 16,17 Therefore, all patients experienced clinical and radiological union within 3 weeks, as well as united fractures at 12 weeks follow-up. These findings are congruent with studies conducted by others, hence open reduction and internal fixation procedure is confirmed not to be a concern for bony union.…”

Section: Discussionmentioning

confidence: 93%

“…This outcome possibly resulted from soft tissue injuries, posttraumatic remodeling, fibrous surgical scars, and malunion. 15,16 In an observational study of 31 children with supracondylar humerus fractures, Abdullah Eren et al 20 reported on the presentation of severe swelling or skin problems around the elbow in delayed treatments, and also on unique health facility problems. Hence, surgical treatments, including sentiment manual reduction through a medial approach and percutaneous crosspinning was provided.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Open Reduction of Supracondylar Humerus Fractures in Children for Failed Closed Reduction: Outcome of Delayed Treatment

Ismiarto

Mahyudin

Haryono

2021

mkb

View full text Add to dashboard Cite

Supracondylar fractures of the humerus are common in children and the advocated treatments for these fractures include closed reduction and percutaneous pinning. There are numerous debates on the intervention period selection for delayed treatment in children. This phenomenon is prevalent in regions with limited healthcare support. The objective of this study was to compare the outcome of early and late treatment groups, including preliminary presentations and the management of failed treatment. This was a prospective comparative study on early and late open reduction, featuring Kirschner wire fixation for Gartland type III supracondylar fracture of humerus in children aged less than 18 years. Patients from January 2018 to January 2019 were categorized into early and late groups (n=22 and n=26), consisting of 33 (86.8%) males and 15 (31.25%) females. Flynn’s criteria were used to evaluate them. The average time from injury to surgery was 50.24±23.5 hours in the early group and 373.79±89.23 hours in the late group (p<0.002). While the Bauman’s angle recorded after 12 weeks presented the values of 82.04 ± 5.18 and 77.38±6.43 (p=0.622) for the early and late groups, respectively. Pre-operative nerve injuries were observed only in 4 (8.33%) cases from the early group. The functional outcomes of both categories were not significantly different statistically (p=0.242). The outcome for children with supracondylar humerus fracture Gartland type III was satisfactory in both groups. In conclusion, treatment delay does not result in a difference in the outcome according to Flynn's criteria.

show abstract

Section: Discussionmentioning

confidence: 91%

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Open Reduction of Supracondylar Humerus Fractures in Children for Failed Closed Reduction: Outcome of Delayed Treatment

Ismiarto

Mahyudin

Haryono

2021

mkb

View full text Add to dashboard Cite

show abstract

“…Supracondylar humerus fractures are the most common fractures around the elbow in children, constituting 60-65% of all fractures, with a peak incidence between 4 and 7 years of age [1]. According to Gartland's classification and Wilkins Modification of Gartland's classification, types 2b, 3a and 3b are generally treated surgically [2,3]. With the popularization of closed reduction and percutaneous pinning in treating supracondylar humerus fractures, problems such as radiation exposure appear, threatening the patients' and medical staff's health.…”

Section: Introductionmentioning

confidence: 99%

Intra-operative application of ultrasonography combined with limited radiography for the treatment of supracondylar humerus fractures in children: a randomized controlled trial

et al. 2022

Med Ultrason

View full text Add to dashboard Cite

Aims: To introduce a new method of intra-operative application of ultrasonography (US) combined with limited radiography to treat supracondylar humerus fractures in children and evaluate its effect on radiation protection.Material and methods: Fifty patients were randomly divided into the radiography-only group (RO group, n = 22) and the US combined with the limited radiography group (UR group, n = 28). US was performed to evaluate fracture displacement and to guide reduction in the UR group. The primary outcome measures were the average number of radiography instances and the quantitative value of radiation emission. Secondary outcome measures were length of hospital stays, loss of range of motion, loss of carrying angle, loss of Baumann angle, fracture healing time, pin site infection, compartment syndrome, cubitus varus, cubitus valgus, and iatrogenic ulnar nerve injury.Results: Average number of radiography instances and quantitative value of radiation emission in the UR group decreased compared with the RO group (p<0.05). There were no significant differences between the groups regarding mean time to surgery, the average length of hospital stays, average surgery time, radiological union time, Flynn grade, or loss of Baumann angle. Pin site infection was seen in one patient in the RO group and two patients in the UR group. No other complications occurred.Conclusion: Intra-operative application of US combined with limited radiography decreases radiation exposure during treatment of supracondylar humerus fractures in children without compromising the therapeutic effect.

show abstract

“…3 Supracondylar fractures are classified into extension and flexion types; the extension type is more common accounting for about 97% of the total fractures. 4 This supracondylar region is at higher risk of fracture because of its anatomical structure. It's a thin area connecting the olecranon and coronoid fossae and therefore has higher predisposition to bending forces during fall from height.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Outcome of Lateral Pinning Versus Medial and Lateral Cross Pinning in Childhood Supracondylar Fractures of Humerus

Nazzar¹,

Rehman²,

Anwar³

et al. 2021

PJMHS

View full text Add to dashboard Cite

Objectives: To compare the complications and outcomes of lateral entry pin fixation with medial and lateral pin fixation for Gartland type III supracondylar fractures of humerus. Methodology: This prospective comparative study involving 190 patients of Gartland type III close supracondylar fractures were included. from March-2019 to Dec-2020. In all patients, initially the elbow was mobilized using the splint placed above the elbow joint at 30 to 45 degrees’ flexion. After closed reduction, lateral pinning was applied in group I and in group II lateral and medial cross pinning was applied using the standard protocol. Patients were followed for iatrogenic ulnar nerve injury, radiologic and function outcomes in-terms of loss of reduction, elbow range of motion, loss in carrying angle and functional outcomes. Results: The two groups were comparable for loss of elbow range of motion, loss of carrying angle and loss of Bauman's angle. On clinical examination, immediate post-operative ulnar nerve injury was diagnosed in 4 (4.2%) cases in group II and in no patient in group I (p-value 0.12). Satisfactory functional outcomes were achieved in 85 (89.5%) patients in group I and in 88 (92.6%) patients in group II (p-value 0.44). Conclusion: Lateral pinning provided stable fixation clinically and radiologically as compared to lateral and medial cross pinning. Keywords: Supracondylar fracture of Humerus, Iatrogenic ulnar nerve injury, Lateral pin entry, lateral and medial cross pin entry.

show abstract

Current Management of Paediatric Supracondylar Fractures of the Humerus

Cited by 27 publications

References 37 publications

Open Reduction of Supracondylar Humerus Fractures in Children for Failed Closed Reduction: Outcome of Delayed Treatment

Open Reduction of Supracondylar Humerus Fractures in Children for Failed Closed Reduction: Outcome of Delayed Treatment

Intra-operative application of ultrasonography combined with limited radiography for the treatment of supracondylar humerus fractures in children: a randomized controlled trial

Comparison of Outcome of Lateral Pinning Versus Medial and Lateral Cross Pinning in Childhood Supracondylar Fractures of Humerus

Contact Info

Product

Resources

About