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Supracondylar Humerus Fractures

  • Stephanie A. Russo
  • Joshua M. AbzugEmail author
Chapter

Abstract

Supracondylar humerus fractures are the most common pediatric elbow fracture and the second most common pediatric fracture overall. According to Cheng and colleagues (1999), supracondylar humerus fractures constitute approximately 18% of all fractures in children. They are second only to distal radius fractures, which represent approximately 20% of pediatric fractures. When stratified by age, supracondylar humerus fractures represent the most common fracture among both infant to 3-year-olds and 4–7-year-olds. In these age groups, supracondylar humerus fractures comprise approximately 27 and 32% of fractures, respectively. Supracondylar humerus fractures occur most frequently in children ages 5–7 years. There is no clear difference in incidence between genders.

Keywords

Supracondylar humerus fractures Closed reduction and percutaneous pinning Flexion-type fractures Open reduction and pinning Pink pulseless limb 

Supplementary material

Video 4.1

Video depicting the semi-sterile technique. Note the minimal use of drapes and gowns (Courtesy of Joshua M. Abzug, MD) (MOV 55931 kb)

Video 4.2

During reduction of an extension-type supracondylar humerus fracture, the milking maneuver is performed first. Reduction is then performed with longitudinal traction and flexion of the elbow, while the upper arm is stabilized at the axilla. The image intensifier is utilized as a table. Care is taken to ensure the arm is externally rotated through the glenohumeral joint for lateral radiographs to avoid displacement or rotation at the fracture site (Courtesy of Joshua M. Abzug, MD) (MOV 94460 kb)

Video 4.3

Stability of the fixation is assessed for both anteroposterior and lateral views with live fluoroscopy as flexion/extension, varus/valgus, and rotational stresses are applied (MOV 43197 kb)

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of Orthopaedic SurgeryUniversity of Pittsburgh Medical Center—HamotErieUSA
  2. 2.Departments of Orthopedics and PediatricsUniversity of Maryland School of MedicineBaltimoreUSA

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