12/9/2023 0 Comments Crppf supracondylar fracture![]() ![]() Smuin DM, Hennrikus WL (2017) The effect of the pucker sign on outcomes of type III extension supracondylar fractures in children. Cureus 12(7):e9213Ībraham E, Powers T, Witt P, Ray RD (1982) Experimental hyperextension supracondylar fractures in monkeys. Smuin D, Hatch M, Winthrop Z et al (2020) The reduction maneuver for pediatric extension type 3 supracondylar humerus fractures. Kzlay YO, Aktekin CN, Özsoy MH et al (2017) Gartland type 3 supracondylar humeral fractures in children: which open reduction approach should be used after failed closed reduction? J Orthop Trauma 31(1):e18–e23 ![]() Skaggs DL, Sankar WN, Albrektson J et al (2008) How safe is the operative treatment of Gartland type 2 supracondylar humerus fractures in children? J Pediatr Orthop 28(2):139–141 Omid R, Choi P, Skaggs D (2008) Supracondylar humeral fractures in children. Simanovsky N, Lamdan R, Mosheiff R, Simanovsky N (2007) Underreduced supracondylar fracture of the humerus in children: clinical significance at skeletal maturity. Medicine (Baltimore) 97(14):e0314įrance J, Strong M (1992) Deformity and function in supracondylar fractures of the humerus in children variously treated by closed reduction and splinting, traction, and percutaneous pinning. Hasegawa M, Suzuki T, Kuroiwa T et al (2018) Reliability of radiographic measurement of lateral capitellohumeral angle in healthy children. Shank CF, Wiater BP, Pace JL et al (2011) The lateral capitellohumeral angle in normal children: mean, variation, and reliability in comparison to Baumann’s angle. Williamson DM, Coates CJ, Miller RK, Cole WG (1992) Normal characteristics of the Baumann (humerocapitellar) angle: an aid in assessment of supracondylar fractures. Smith HL (1894) Position in the treatment of elbow-joint fractures: an experimental study. Rang M (1983) Children's Fractures: LippincottĭeFrancesco CJ, Shah AS, Brusalis CM et al (2018) Rate of open reduction for supracondylar humerus fractures varies across pediatric orthopaedic surgeons: a single-institution analysis. Rang M, Pring ME, Wenger DR (2005) Rang's children's fractures: Lippincott Williams & Wilkins Vaquero-Picado A, González-Morán G, Moraleda L (2018) Management of supracondylar fractures of the humerus in children. Orthop Muscular Syst 5Ĭheng JC, Lam TP, Maffulli N (2001) Epidemiological features of supracondylar fractures of the humerus in Chinese children. Gelfer Y, Dabis J, Daly K (2016) Supracondylar fractures of the humerus in children- review of management and controversies. Successful closed reduction using the concept of intact periosteal hinge to aid and maintain reduction is crucial. All 52 cases of extension-type SCHFs were successfully managed with closed reduction with or without percutaneous pinning. In our series, a 1.8% rate of open reduction was indicated in flexion-type SCH fractures. Of the cases requiring CRPP, 45% were divergent lateral wires, and 55% were crossed wires. All extension-type fractures were successfully managed with either CRPP or manipulation and casting alone. The rate of open reduction in SCHFs was 1.8% (1 out of 56 cases), performed in a flexion-type injury. Gartland IIA fractures constituted 38% of SCHFs, 9% of Gartland IIB, 43% of Gartland III, and 7% of flexion-type. ![]() The Modified Gartland’s classification was utilized in the analysis of extension-type SCHF radiographs. All cases were performed using the aforementioned reduction technique. MethodsĪ single-surgeon retrospective analysis of 56 operative pediatric SCH cases (51 extension-type, 6 flexion-type) who underwent either CRPP or open reduction over a 16-year period was performed. This study aims to analyze the likelihood of open reduction in pediatric extension-type SCHFs and to reaffirm the traditional teaching of reduction techniques described by Smith and Rang. The vast majority of operative supracondylar humerus fractures are treated with closed reduction and percutaneous pinning (CRPP) however, the estimated rate of SCHFs requiring open reduction is approximately 12.7%. Supracondylar humerus fractures (SCHFs) represent the most common pediatric elbow fracture, constituting approximately 12–17% of all pediatric fractures. ![]()
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