Abstract
Though commonly encountered in clinical practice, pediatric supracondylar humerus fractures can be challenging to treat. In order to avoid the potential pitfalls in the evaluation and management of these patients, a systematic approach must be adopted. A directed history, thorough physical examination, and review of the appropriate imaging will determine the type and timing of treatment, as well as follow-up and prognosis. This decision-making process, along with intra-operative tips and tricks, is demonstrated in two illustrative cases.
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References
Mulpuri K, Wilkins K. The treatment of displaced supracondylar humerus fractures: evidence-based guideline. J Pediatr Orthop. 2012;32(Suppl 2):S143–52.
Skaggs DL, Cluck MW, Mostofi A, Flynn JM, Kay RM. Lateral-entry pin fixation in the management of supracondylar fractures in children. J Bone Joint Surg Am. 2004;86-A(4):702–7.
Brighton B, Abzug JM, Ho CA, Ritzman TF. Current strategies for the management of pediatric supracondylar humerus fractures: tips and techniques for successful closed treatment. Instr Course Lect. 2016;65:353–60.
Cramer KE, Green NE, Devito DP. Incidence of anterior interosseous nerve palsy in supracondylar humerus fractures in children. J Pediatr Orthop. 1993;13(4):502–5.
Babal JC, Mehlman CT, Klein G. Nerve injuries associated with pediatric supracondylar humeral fractures: a meta-analysis. J Pediatr Orthop. 2010;30(3):253–63.
Dormans JP, Squillante R, Sharf H. Acute neurovascular complications with supracondylar humerus fractures in children. J Hand Surg Am. 1995;20(1):1–4.
Badkoobehi H, Choi PD, Bae DS, Skaggs DL. Management of the pulseless pediatric supracondylar humeral fracture. J Bone Joint Surg Am. 2015;97(11):937–43.
Ring D, Waters PM, Hotchkiss RN, Kasser JR. Pediatric floating elbow. J Pediatr Orthop. 2001;21(4):456–9.
Blakemore LC, Cooperman DR, Thompson GH, Wathey C, Ballock RT. Compartment syndrome in ipsilateral humerus and forearm fractures in children. Clin Orthop Relat Res. 2000;376:32–8.
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Masrouha, K.Z., Karamitopoulos, M.S. (2019). Pediatric Supracondylar Humerus Fractures. In: Tejwani, N. (eds) Fractures of the Elbow. Springer, Cham. https://doi.org/10.1007/978-3-030-22857-6_2
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DOI: https://doi.org/10.1007/978-3-030-22857-6_2
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