Yoshida N, Tsuchida Y. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222303 Description A 9-year-old boy presented to the emergency department with severe left elbow pain after a fall from a skateboard. On physical examination, an open injury in his left elbow that exposed the humeral lateral epicondyle was observed (Gustilo grade; figure 1A). The radial pulse was well palpated, but the neurological ...

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 crossed...

The incidence of Monteggia lesion is only 1 to 2% of all childhood forearm injuries and even less in adults [2]. Distal humerus intraarticular fractures constitute 0.5%-7% of all fractures and 30% of elbow fractures [3]. Monteggia lesion have been found to be associated with wrist lesions [1,4,5]. Wiley and Galey [1] & Arazi et al. [6] reported one case each of the ipsilateral supracondylar fra...

Seventy patients who had sustained supracondylar fractures of the humerus as children were examined. Loss of carrying angle of the elbow occurred if the fracture was immobilized in a varus position during healing. Varus malalignment could have been obviated if comparative radiographs of the other elbow had been taken and the Baumann angles compared. Rotation and posterior displacement at the fr...

This study aimed at evaluating our protocol for displaced Gartland Type 3 supracondylar fractures of the humerus in children. Forty-eight children had 49 fractures during the study period, from 1997 to 2002; they were included in the study. Their mean age was 7.02 years. They all were treated with crossed K-wires. The medial wire was always put under direct vision through a medial approach. All...

UNLABELLED Supracondylar humerus fractures are common pediatric injuries. Little is known about the risk factors for repeat operative procedures. A retrospective chart review of 709 patients treated for a displaced supracondylar humerus fracture was performed to identify risk factors for return to the operating room during the initial post-operative period. Deviations of routine fracture care w...

BACKGROUND The Study and Research Group in Pediatric Orthopedics-2012 initated this retrospective study due to the fact that in Romania and in other countries, the numerous procedures do not ensure the physicians a definite point of view related to the therapeutic criteria in the treatment of supracondylar fractures. That is why the number of complications and their severity brought into notice...

BACKGROUND Treatment of supraintercondylar (AO/OTA 33-C) and supracondylar (AO/OTA 33-A) femur fractures is generally challenging. Standard treatments include open reduction and internal fixation. However, optimal implants are now being well-defined. This study focus on the comparison between clinical and functional outcomes of fractures treated with condylar buttress plates (CBPs). METHODS W...

BACKGROUND Percutaneous Kirschner wire fixation represents the classic treatment for displaced supracondylar humeral fractures in childhood. This type of treatment first requires satisfactory reduction of the fracture. Failure to achieve a satisfactory reduction or inadequate stabilization can result in instability of the fracture fragments, which can result in either an unsatisfactory cosmetic...

Supracondylar fractures of the humerus are common in children. Closed reduction and percutaneous pinning is primary method management, though 2–12% these require open reduction. There no conclusive evidence to dictate best surgical approach fracture. This paper aims review supracondylar discusses early late associated complications. The treatment options then examined, with a focus on preferred...