Supracondylar fractures are divided into two types as extensor and flexor. Extension-type fractures are more frequent and particularly visible after palm falls when the elbow is hyperextended (3). With many classifications being defined, the Wilkins-modified Gartland classification system is the most commonly used system for the classification of extension-type supracondylar humerus fractures (...

An 1 1 year old boy fell off a swing onto an outstretched left hand. He attended the accident and emergency department with a painful, swollen left elbow. Radiography of the injured elbow confirmed the undisplaced supracondylar fracture (fig 1). He was treated with a broad arm sling. A week later the child was seen in the fracture clinic and overall evaluation revealed tenderness over the left ...

INTRODUCTION Injuries around the elbow are common in pediatric population. Amongst them, most common is fractures of the supracondylar part of humerus, followed by condylar fractures. Fractures of the neck of the radius account for five-ten percent of the total injuries. Various techniques for closed reduction of the fracture have been described in literature. Open reduction and fixation is ind...

Background:  Medial pinning is one of the most controversial aspects of the surgical treatment of supracondylar fractures (SHF) owing to the risk of ulnar nerve injury.  Aim: To evaluate the safety and usefulness of medial pinning for SHF using ultrasound imaging for ulnar nerve visualization.   Methods: Fifteen children, with a mean age of 60 months, with displaced SHF were treated with a cros...

Background: The vast majority of displaced pediatric supracondylar humeral fractures can be treated successfully with closed reduction and percutaneous pinning. The need for open reduction is difficult to determine a priori and is typically due to the failure of closed reduction attempts or persistent limb ischemia. The aims of this study were to determine the prevalence of flexion-type supraco...

Infectious complications of closed reduction and percutaneous pinning of supracondylar humerus fractures are exceedingly rare. Although postoperative Pseudomonas infection is a feared complication associated with noncompliance and a wet cast, there are no reports in the literature of this occurring. We present the devastating complication of a pediatric patient who developed Pseudomonas aerugin...

BACKGROUND Severe comminution, bone loss, and osteopenia at the site of a distal humeral fracture increase the risk of an unsatisfactory result, often secondary to inadequate fixation. The purpose of this study was to determine the outcome of treating these fractures with a principle-based technique that maximizes fixation in the articular fragments and stability at the supracondylar level. M...

Abstract Background Supracondylar fractures. Most common childhood elbow fracture. Can be difficult to manage. Risk of significant complications Method Results • NV documentation, 2018:2019, Improved (36%à45%), Inadequate (45%) in comparison BOAST guideline. Night ops Appropriate as per guideline Surgical technique Conclusions Recommendations:

Background. Supracondylar fractures are the commonest elbow injury in children. Most displaced supracondylar fractures are manipulated and held with a medial/lateral entry or two lateral Kirschner wires. This clinical study has results purely from a three lateral divergent wire technique. Methods. Displaced supracondylar fractures were manipulated closed and three lateral divergent wires insert...

BACKGROUND Open supracondylar fractures of the humerus are rare in children, and the treatment strategy for these fractures is yet to be standardised. AIM We present the case of a 7-year-old boy with open supracondylar humerus fracture that was managed with an external wrist fixator. CASE PRESENTATION A 7-year-boy was brought to our department with pain in the right arm after a fall from a ...