What is an acceptable reduction for supracondylar humerus fractures in children?
Closed reduction and percutaneous pinning (with two or three lateral pins) are the preferred treatment options for most displaced supracondylar fractures.
What is the best fixation technique for the treatment of supracondylar humerus fractures in children?
Conclusion: Based upon this meta-analysis of prospective randomized clinical trials, the following is recommended: (1) percutaneous pinning with lateral wires in supracondylar fractures of the humerus in children classified as Gartland II type B; (2) use of crossed wires for Gartland type III or IV, using the mini-open …
How do you treat a supracondylar fracture?
Treatment. A supracondylar fracture is typically treated by putting a splint or cast around your elbow and then using a sling to keep it in position. Other treatments include ice and medications to relieve pain and swelling. Surgical or nonsurgical.
Why supracondylar fractures are common in children?
Overview. A supracondylar fracture is an injury to the humerus, or upper arm bone, at its narrowest point, just above the elbow. Supracondylar fractures are the most common type of upper arm injury in children. They are frequently caused by a fall on an outstretched elbow or a direct blow to the elbow.
Which nerve is injured in supracondylar fracture?
The most commonly injured nerve was the ulnar nerve (43.4%), followed by the median (36.7%) and radial nerves (19.9%).
What is the commonest complication of supracondylar fracture of humerus?
Pin-site irritation and superficial infections are the most common complications seen. Cubitus varus remains another common complication, even with the use of closed reduction and pinning for management of most displaced fractures. Neurapraxias are seen in almost 10% of patients, with most resolving spontaneously.
Does a supracondylar fracture need a cast?
The fracture may be displaced (where the bones are out of alignment) or undisplaced. Displaced fractures may require surgery to put pins in the bones to hold them in place. A supracondylar elbow fracture will require cast and sling while the fracture heals.