Abstract
A 5-year-old boy fell from a stool and sustained a left elbow injury. Radiographic evaluation showed a displaced supracondylar fracture of the left elbow. The fracture was closed reduced intraoperatively, and the decision to place two crossed pins was made based on the surgeon’s preference. Although the most commonly used pins configuration is the lateral entry pins, certain fracture patterns or surgeon preference may dictate that crossed pins need to be used.
Follow up visits and radiographic evaluations at 1 week and 4 weeks postoperatively showed the fracture well be aligned with routine healing. The pins were removed at 4 weeks postoperatively and the cast discontinued. At 6 weeks follow up visit, the range of motion was evaluated. The patient demonstrated a full elbow range of motion, and no malalignment was seen.
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References and Suggested Readings
Larson L, Firoozbakhsh K, Passarelli R, Bosch P (2006) Biomechanical analysis of pinning techniques for pediatric supracondylar humerus fractures. J Pediatr Orthop 26(5):573–578
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Pesenti S, Ecalle A, Gaubert L, Peltier E, Choufani E, Viehweger E et al (2017) Operative management of supracondylar humeral fractures in children: comparison of five fixation methods. Orthop Traumatol Surg Res 103(5):771–775
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Abousamra, O., Iobst, C.A. (2020). Supracondylar Humerus Fracture Extension Type: Cross Pinning. In: Iobst, C., Frick, S. (eds) Pediatric Orthopedic Trauma Case Atlas. Springer, Cham. https://doi.org/10.1007/978-3-319-29980-8_15
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DOI: https://doi.org/10.1007/978-3-319-29980-8_15
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Publisher Name: Springer, Cham
Print ISBN: 978-3-319-29979-2
Online ISBN: 978-3-319-29980-8
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