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Supracondylar humeral fractures in children: current concepts for management and prognosis

International Orthopaedics volume 39, pages 2287–2296 (2015)Cite this article

Abstract

Supracondylar humeral fractures are the most common elbow fractures in children and represent 3 % of all paediatric fractures. The most common cause is a fall onto an outstretched hand with the elbow in extension, resulting in an extension-type fracture (97–99 % of cases). Currently, the Gartland classification is used, which has treatment implications. Diagnosis is based on plain radiographs, but accurate imaging could be limited due to patient pain. Based on fracture type, the definitive treatment could be either non-operative (type I) or operative (type III/IV); however, when handling type II fractures controversy remains. Neither pin configuration have shown higher efficacy over the other. Complications are ~1 %, the most common being pin migration, with compartment syndrome as the most devastating. Overall, functional outcomes are good, and physical therapy does not appear to be necessary.

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Affiliations

  1. Department of Orthopaedic Surgery, 12 de Octubre University Hospital, Madrid, Spain

    Jaime Zorrilla S. de Neira & Alfonso Prada-Cañizares

  2. Pediatric Orthopaedic Division/Department of Orthopaedics, 12 de Octubre University Hospital, Madrid, Spain

    Rafael Marti-Ciruelos

  3. Miller School of Medicine, Musculoskeletal Oncology/Pediatric Orthopaedics Division, Department of Orthopaedic Surgery, University of Miami, Coral Gables, FL, USA

    Juan Pretell-Mazzini

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  1. Jaime Zorrilla S. de Neira
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  2. Alfonso Prada-Cañizares
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  3. Rafael Marti-Ciruelos
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  4. Juan Pretell-Mazzini
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Correspondence to Juan Pretell-Mazzini.

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Zorrilla S. de Neira, J., Prada-Cañizares, A., Marti-Ciruelos, R. et al. Supracondylar humeral fractures in children: current concepts for management and prognosis. International Orthopaedics (SICOT) 39, 2287–2296 (2015). https://doi.org/10.1007/s00264-015-2975-4

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Keywords

  • Supracondylar humeral fractures
  • Compartment syndrome
  • Pin configuration
  • Pin migration
  • Infection
  • Baumann angle
  • Anterior humeral line