The Relationships of Skeletal Injuries with Trauma Score, Injury Severity Score, Length of Hospital Stay, Hospital Charges, and Mortality in Children Admitted to a Regional Pediatric Trauma Center

Buckley, Steven L.; Gotschall, Cathy; Robertson, W. W.; Sturm, Peter; Tosi, Laura L.; Thomas, Michael; Eichelberger, Martin R.

doi:10.1097/01241398-199407000-00005

Cited by 75 publications

(40 citation statements)

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“…Stanitski and Micheli were the first to use the term floating elbow to describe combination of supracondylar and both bone forearm fractures where in the elbow is effectively dissociated from the rest of the limb [7]. In a study on 3,472 patients, Buckley et al stated that the second most frequent associations was between radial, ulnar and humeral fractures (nine cases) in concomitant fractures [9]. In his study of 1199 patients with 1722 injuries, Malheiros found combination of fractures of humerus and forearm bones to be most frequent (25 cases) among multiple injured patients [10].…”

Section: Introductionmentioning

confidence: 99%

Ipsilateral fracture of the supracondylar humerus and forearm in children

Hussain¹

2014

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations.IJCRI publishes Review Articles, Case Series, Case Reports, Case in Images, Clinical Images and Letters to Editor. Website: www.ijcasereportsandimages.comIpsilateral fracture of the supracondylar humerus and forearm in children Shahid Hussain ABSTRACT Introduction: Simultaneous ipsilateral fracture of the elbow and forearm (floating elbow) is an uncommon injury and treatment recommendations are controversial. The aim of our study was to evaluate the incidence of ipsilateral fractures of the upper limb and to present our experience in dealing with such injuries and to review the literature relating to this topic. The following variables were used: age, gender, side, mechanism of injury, type of fracture, classification, treatment methods, complications and outcome. Case Series: We prospectively followed five children who presented with displaced supracondylar fractures of the humerus associated with a forearm fracture of the same limb. All patients underwent emergency procedures in the form of closed reduction and K-wire fixation/ cast fixation. At a minimum follow up of 24 months, all patients were assessed clinically and radiologically and the results evaluated according to a conventional scoring system. Four patients had excellent or good outcomes, and there was one poor result. Conclusion:The floating elbow is an indicator of a high energy injury. The incidence of open fractures, compartment syndrome and nerve injury and the need to perform an open reduction were higher than those recorded for isolated supracondylar or forearm fractures. The existing controversies in the management of such a complex injury and associated problems are outlined. A pertinent literature review is also included.

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Section: Introductionmentioning

confidence: 99%

Ipsilateral fracture of the supracondylar humerus and forearm in children

Hussain¹

2014

IJCRI

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“…Motor vehicle collisions and automobile-pedestrian accidents are the most common mechanisms of injury for all fractures (Buckley et al, 1994;Taylor et al, 1994b). In the current study, we examined the associated injuries and the influence on the femoral fracture in children due to motor vehicle accidents.…”

Section: Discussionmentioning

confidence: 99%

Femoral fractures in children related to motor vehicle injuries

Bener

Justham

Azhar

et al. 2007

Journal of Orthopaedic Nursing

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“…In children, spinal injuries most often occur in the cervical region (80%); (McPhee, 1981;Hadley et al, 1988;Osenbach and Menezes, 1989; Myles, 1992a, b) and, mechanistically predominate from compression or tension as a result of automotive, sport, or fall incidents (Hadley et al, 1988;Dickman et al, 1991;Dietrich et al, 1991;Hamilton and Myles, 1992a, b;Eleraky et al, 2000). Further, compared to all other pediatric injuries, cervical spine traumas result in the most severe injuries (average AIS of 3.5), highest mortality (15%), and longest hospital stays (15-days) (Buckley et al, 1994). Hence, the long-term financial, psychological, and quality-of-life costs associated with pediatric cervical spine injury-for the child, his or her family, and society-are catastrophic.…”

Section: Introductionmentioning

confidence: 93%