Nerve injuries associated with supracondylar fractures of the humerus in children

Kwok, Iris H.Y.; Silk, Zacharia; Quick, Tom; Sinisi, Marco; MacQuillan, Anthony; Fox, Michael

doi:10.1302/0301-620x.98b6.35686

Cited by 43 publications

(39 citation statements)

References 22 publications

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“…53 In general, it is just ulnar nerve that is most usually damaged in supracondylar humerus fractures. 54 We found 18 patients with iatrogenic nerve injury (3.2%), and such an incidence is in line with previously reported incidence (3-4%). 31,55 In the study population, the lateral entry prevented from iatrogenic nerve injury (5.9% in lateral pinning vs. 9.0% in two-sided pinning), which supports the superiority of lateral pinning over medial and lateral pinning.…”

Section: Discussionsupporting

confidence: 93%

Gartland Type II Supracondylar Humerus Fractures, Their Operative Treatment and Lateral Pinning Are Increasing: A Population-Based Epidemiologic Study of Extension-Type Supracondylar Humerus Fractures in Children

et al. 2016

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Supracondylar humerus fractures are usual in children but their recent trends are unclear. A population-based study was performed to determine the epidemiology of childhood supracondylar humerus fractures during the decade, 2000 to 2009, in a geographic area of Oulu, Finland. Altogether, 565 extension-type supracondylar humerus fractures were included. The fractures and their treatment were analyzed according to the Gartland classification. Fracture incidence increased by 28%, from 50.9 to 65.2 per 100,000 during 2000 to 2009 (β = 1.03, < 0.001). The increase was from 41.3 to 57.6 per 100,000 in girls (β = 1.9, < 0.001). Trampoline-related fractures in particular increased in girls. Type II fractures increased twofold from 7.1 to 16.3 per 100,000 (β = 1.1, < 0.001), whereas type I fractures decreased from 22.4 to 20.9 per 100,000 (β = -0.3, = 0.026).Surgical treatment increased during the 10 years study period from 32.6 to 51.8% ( = 0.022); it was in particular due to increase of operative care of type II fractures (from 5.9% in 2000-2001 to 37.1% in 2008-2009; = 0.011). Lateral pin fixation increased from nil to six (10.7%) ( < 0.001). The incidence and surgical stabilization of type II fractures in particular are increasing. There is a trend toward lateral pin fixation.

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Section: Discussionsupporting

confidence: 93%

Gartland Type II Supracondylar Humerus Fractures, Their Operative Treatment and Lateral Pinning Are Increasing: A Population-Based Epidemiologic Study of Extension-Type Supracondylar Humerus Fractures in Children

et al. 2016

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“…These techniques may be implemented in cases managed operatively or conservatively. [1][2][3][4]7,15,17,[25][26][27] As previously mentioned, a priority of any BP surgical reconstruction or rehabilitation program is elbow flexion.…”

Section: Therapeutic Managementmentioning

confidence: 99%

The Use of Dynamic Assist Orthosis for Muscle Reeducation following Brachial Plexus Injury and Reconstruction

et al. 2018

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Therapeutic management of brachial plexus injuries remains complex. The impact of brachial plexus injuries on everyday human functioning should not be underestimated. Early active-assisted range of motion following such injuries may prevent myostatic contractures, minimize muscle atrophy, facilitate muscle fiber recruitment, and enable a faster return to baseline strength levels. The dynamic assist elbow flexion orthosis proposed is designed to provide patients with a graded system for muscle reeducation and function. No clinical data are currently available on the use of this orthosis design; however, this article presents a treatment option based on sound clinical reasoning to facilitate rehabilitation following this devastating injury.

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“…If the appropriate Baumann's angle is not achieved, the reduction maneuver is repeated with extra valgus pressure. If the vascular injury is not improved after the initial closed reduction and splinting, the open method must be considered as well, especially in case of open fractures, severe elbow inflammation, and vascular injury (1,(14)(15)(16). Gartland type III fractures In all Gartland type IV fractures; 8.…”

Section: Reduction Maneuver For Supracondylar Humerus Fracturesmentioning

confidence: 99%

“…upracondylar humerus fracture is one of the most common fractures in children (1). It includes half of all fractures of the elbow and about 30% of all limb fractures in children below 7 years (2-4).…”

Section: Introductionmentioning

confidence: 99%

Diagnostic Methods and Treatments of Anterior Interosseous Nerve Syndromes in Supracondylar Humerus Fractures: Case Series and Literature Review

Azar

Taheri

Jafarpour

et al. 2018

JPR

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Introduction: Half of all fractures of the elbow and almost 30% of all limb fractures occur in children under the 7 years of age, supracondylar humerus fracture being the most common. Neurological complications associated with supracondylar humerus fractures in children such as Anterior Interosseous Nerve (AIN) syndrome are well known. Cases Presentation: Thirty-three children with humeral supracondylar fracture were admitted to the orthopedic surgery centers at Imam Hospital in Sari, north of Iran from November 2014 to November 2016. Of them, four cases had AIN syndrome. The treatment of fracture involved closed reduction with percutaneous pinning, open reduction, and pin fixation. Conclusions: According to the only motor (no sensory) dysfunction of AIN and by deceiving children using the third finger to flex the second one, underestimation of AIN syndrome in supracondylar fracture of the humerus can be expected. So, the physician should be more careful about physical examination in supracondylar fracture of humerus beside to vascular state.

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Nerve injuries associated with supracondylar fractures of the humerus in children

Abstract: When managed appropriately, nerve recovery and clinical outcomes for this paediatric population are extremely favourable. Cite this article: Bone Joint J 2016;98-B:851-6.

Cited by 43 publications

References 22 publications

Gartland Type II Supracondylar Humerus Fractures, Their Operative Treatment and Lateral Pinning Are Increasing: A Population-Based Epidemiologic Study of Extension-Type Supracondylar Humerus Fractures in Children

Gartland Type II Supracondylar Humerus Fractures, Their Operative Treatment and Lateral Pinning Are Increasing: A Population-Based Epidemiologic Study of Extension-Type Supracondylar Humerus Fractures in Children

The Use of Dynamic Assist Orthosis for Muscle Reeducation following Brachial Plexus Injury and Reconstruction

Diagnostic Methods and Treatments of Anterior Interosseous Nerve Syndromes in Supracondylar Humerus Fractures: Case Series and Literature Review

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