BACKGROUND The current research is a retrospective study that involves the description of a new trochleocapitellar index (TCI), on basis of anteroposterior (AP) radiographs of normal and fractured paediatric elbows. This index may be useful in assessing the alignment of the elbow with a supracondylar fracture. METHODS The index was evaluated to define its normal and pathological range in chil...

Introduction: Supracondylar fracture of the humerus is most frequently encountered elbow injuries among children that occupies around 60% all in initial ten years life. Trouble reduction and its maintenance, recurrent association neurovascular structures injury are common complications displaced supracondylar fractures.Methods: Around 64 patients with type III fractures were selected who fulfil...

Olecranon fractures are common skeletal injuries accounting for approximately 10% of upper extremity fractures in adults. Simple non-comminuted fractures are traditionally fixed using the tension band wiring technique. This technique, however, has several complications, most commonly prominence of the metalwork frequently requiring surgery for removal. We describe a retrospective review of a ne...

The purpose of this paper is to analyse the causes of permanent disability after supracondylar fractures of the humerus in children. By so doing I hope to show what degree of residual displacement can be accepted without detriment to the patient, and that which must be corrected to obtain an elbow of normal appearance and a full range of movement. A survey of the literature reveals many conflic...

PURPOSE This prospective study aimed to investigate the epidemiologic parameters of supracondylar humeral fractures in children admitted to a teaching institution of a developing country primarily catering to rural population, to find any preventable cause of such injuries. METHODS All suspected cases of supracondylar humeral fracture reporting to emergency or outpatients department were anal...

PURPOSE Outcomes are excellent following surgical management of displaced supracondylar humerus fractures. Short delays until surgical fixation have been shown to be equivalent to immediate fixation with regards to complications. We hypothesized that insurance coverage may impact access to care and the patient's ability to return to the operating room for outpatient surgery. METHODS A retrosp...

BACKGROUND More than 200,000 children are injured at playgrounds in the United States each year. Our goal was to introduce a composite measure of playground safety and use this instrument to correlate the incidence of supracondylar humerus fractures with playground safety in an ecologic study design. METHODS We used a novel "overall-safety rating," defined as a composite of 3 previously valid...