Etiology of Supracondylar Humerus Fractures

Farnsworth, Christine L.; Silva, Patricia D.; Mubarak, Scott J.

doi:10.1097/01241398-199801000-00008

Cited by 188 publications

(185 citation statements)

References 24 publications

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“…Fall injury causes major injury. In our study it has been found that fall while playing and fall from bicycle causes maximum injury in the early group which is 33.33% while in the late group it was found that fall while playing causes maximum injury which is 42.1%, which is consistent with other studies [35][36][37][38][39] . In our study it was found that radial nerve was the commonest nerve involved, although slightly higher than described in the literature in early group (14.8%) and median nerve palsy (7.4%), while patients presenting late had no such complications [43][44] .…”

Section: Discussionsupporting

confidence: 82%

“…In our study age of the patients was 8.23± 2.981 years in early group and 7.84 ± 3.95 years in the late group which is nearly similar to the studies done by others [35][36] . Males were found to be more commonly involved both in early and late groups which are 63.0 % and 68.4 % respectively.…”

Section: Discussionsupporting

confidence: 80%

“…Significant co-relation has not been found as p-value < 0.249 which is consistent with study by Matuszweski L et al [42] . On further evaluation it has been found that non-dominant extremity is more commonly involved than dominant extremity which is consistent with a study by Farnsworth et al & Cheng et al [35,36] . Fall injury causes major injury.…”

Section: Discussionsupporting

confidence: 79%

“…Males were found to be more commonly involved both in early and late groups which are 63.0 % and 68.4 % respectively. Although some studies have concluded that females are more susceptible to such injures [35][36][37][38][39][40][41] . Both the early and late groups have been evaluated and it has been found that left upper limb extremity has been commonly involved, which is 74.1% in the early group and 57.9% in the late group.…”

Section: Discussionmentioning

confidence: 99%

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2017

Int. J. Orthop. Sci.

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Purpose: Controversy still persists regarding optimum intervention time for late presentations of supracondylar fracture of humerus in children. We compared outcomes in early and late groups of presentation and management. Study design: We conducted prospective study comparing early and late open reduction and Kirschner wire fixation for Gartland type III supracondylar fracture of humerus in children aged less than 16 years. We analyzed results of 27 cases in early group and 19(8 lost) cases in late group. We compared duration of surgery, range of motion, and Flynn's criteria were used to evaluate outcome. Results: Thirty (65%) patients were male and 15(32.60%) had dominant limb involvement. Injury to surgery time was 53.63±41.03 hours in early group and 338.53±134.31 hours in late group (p<0.005). Pre-operative nerve injury was 6(13%) cases in early group. Bauman's angle at 12 weeks in early group was 70.04± 3.240 & in late group had71.42± 8.329. (p< 0.513). Loss of range of motion between groups was insignificant (p< 0.668). According to Flynn's, results were comparable between groups. Conclusion: We concludes that in cases of Garland type III supracondylar fracture of humerus of children open reduction & k-wire fixation is an effective method of treatment in both groups.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 80%

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

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2017

Int. J. Orthop. Sci.

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“…Dentre estas, as fraturas supracondilianas do úmero são responsáveis por até 50 a 70% dos casos (2)(3)(4) , acometendo principalmente crianças na faixa etária entre cinco e sete anos de idade (5) . As lesões ocorrem predominantemente à esquerda, ou do lado não dominante (5)(6)(7) .…”

Section: Introductionunclassified

Desvios rotacionais na fratura supracondiliana do úmero em crianças: novo método de avaliação

Filho¹,

Veloso²,

Akkari³

et al. 2011

Rev. bras. ortop.

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RESUMOObjetivo: Descrever um novo método para identificar e quantificar os desvios rotacionais da fratura supracondiliana do úmero. Métodos: O estudo foi realizado usando modelos sintéticos de úmero, serrando-o perpendicular ao seu longo eixo, na região da fossa olecraniana, fixando-o com diferentes desvios rotacionais, e então uma radiografia das peças foi obtida. Foi realizada uma análise descritiva da sensibilidade e especificidade do método de visualização do "esporão metafisário" com o teste não paramétrico de Kruskal-Wallis. A análise de regressão linear foi utilizada para identificar uma relação entre tamanho do esporão e o grau de desvio rotacional da fratura. Resultados: A sensibilidade e a especificidade do método foram de 100% a partir de 15 graus de desvio rotacional e houve uma relação estatisticamente significante entre o tamanho do esporão e o grau do desvio rotacional. Conclusão: O método demonstrou ser de fácil aplicação, confiável e reprodutível neste trabalho. Descritores - INTRODUÇÃOAs fraturas do cotovelo correspondem cinco a 10% de todas as fraturas nas crianças (1) . Dentre estas, as fraturas supracondilianas do úmero são responsáveis por até 50 a 70% dos casos (2)(3)(4) , acometendo principalmente crianças na faixa etária entre cinco e sete anos de idade (5) . As lesões ocorrem predominantemente à esquerda, ou do lado não dominante (5-7) .O mecanismo de trauma mais comum é a queda com apoio do membro superior e o cotovelo em extensão completa, levando o olécrano a realizar um fulcro posterior na sua fossa, região de maior fragilidade, provocando uma fratura do tipo em extensão, isto é, com desvio posterior (8,9) . Este tipo de desvio representa cerca de 97% a 99% dos casos (5,8) .Vários métodos de tratamento têm sido descritos,Rev Bras Ortop. 2011;46(Suppl 4):45-50

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