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Supracondylar distal humerus fracture

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https://www.readbyqxmd.com/read/27709874/transphyseal-distal-humerus-fracture
#1
Joshua M Abzug, Christine Ann Ho, Todd F Ritzman, Brian Brighton
Transphyseal distal humerus fractures typically occur in children younger than 3 years secondary to birth trauma, nonaccidental trauma, or a fall from a small height. Prompt and accurate diagnosis of a transphyseal distal humerus fracture is crucial for a successful outcome. Recognizing that the forearm is not aligned with the humerus on plain radiographs may aid in the diagnosis of a transphyseal distal humerus fracture. Surgical management is most commonly performed with the aid of an arthrogram. Closed reduction and percutaneous pinning techniques similar to those used for supracondylar humerus fractures are employed...
February 15, 2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27578381/posttraumatic-progressive-cubitus-varus-deformity-managed-by-lateral-column-shortening-a-novel-surgical-technique
#2
Amit Srivastava, Anil-Kumar Jain, Ish Kumar Dhammi, Rehan-Ul Haq
The outward angulation of elbow with supinated forearm is cubitus varus deformity. This deformity is often seen as sequelae of malunited supracondylar fracture of humerus in paediatric age group of 5e8 years. The deformity is usually non-progressive, but in cases of physeal injury or congenital bony bar formation in the medial condyle of humerus, the deformity is progressive and can be grotesque in appearance. Various types of osteotomies are defined for standard non-progressive cubitus varus deformity, while multiple surgeries are required for progressive deformity until skeletal maturity...
August 1, 2016: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/27578052/biomechanical-properties-of-orthogonal-plate-configuration-versus-parallel-plate-configuration-using-the-same-locking-plate-system-for-intra-articular-distal-humeral-fractures-under-radial-or-ulnar-column-axial-load
#3
Toshiya Kudo, Akira Hara, Hideaki Iwase, Satoshi Ichihara, Masashi Nagao, Yuichiro Maruyama, Kazuo Kaneko
INTRODUCTION: Previous reports have questioned whether an orthogonal or parallel configuration is superior for distal humeral articular fractures. In previous clinical and biomechanical studies, implant failure of the posterolateral plate has been reported with orthogonal configurations; however, the reason for screw loosening in the posterolateral plate is unclear. The purpose of this study was to evaluate biomechanical properties and to clarify the causes of posterolateral plate loosening using a humeral fracture model under axial compression on the radial or ulnar column separately...
October 2016: Injury
https://www.readbyqxmd.com/read/27403521/-dome-shaped-osteotomy-combined-with-transposition-of-the-ulnar-nerve-as-a-treatment-for-post-traumatic-ulnar-valgus-in-a-pediatric-patient
#4
L Pino-Almero, M F Mínguez-Rey, F Gomar-Sancho
A sequel of supracondylar fractures of distal humerus in children is the angular deformity. It is usually more frequent cubitus varus, but there are reported cases of cubitus valgus. The latter may be the cause of the occurrence of a late ulnar nerve neuropathy, which will require treatment. There is controversy as to whether it is possible to successfully treat both problems at the same surgical procedure. This article describes the case of a girl of 11 years old, who has a cubitus valgus deformity secondary to supracondylar fracture of distal humerus of right elbow at the age of seven years, associated with progressive symptoms of ulnar nerve neuropathy...
November 2015: Acta Ortopédica Mexicana
https://www.readbyqxmd.com/read/27299103/management-of-displaced-radial-neck-fractures-with-closed-technique-using-titanium-elastic-nail-and-review-of-literature-a-case-report
#5
Shivanand M Bandekar, Mihir R Desai
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 indicated when closed reduction fails to provide satisfactory results and the angulation remains more than 45-60 degrees...
October 2015: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27258360/do-additional-full-length-radiographs-of-the-humerus-and-forearm-improve-the-decision-making-in-children-with-supracondylar-humerus-fractures
#6
Tamir Bloom, Daniel A Seigerman, Caixia Zhao, Sanjeev Sabharwal
We sought to determine the diagnostic utility of additional full-length radiographs of the forearm and humerus for pediatric supracondylar humerus fractures. A pediatric orthopedic surgeon and a senior orthopedic resident individually reviewed the initial humerus, forearm, and elbow radiographs of 55 children with a supracondylar humerus fracture and recommended definitive treatment (operative vs. nonoperative) on the basis of the modified Gartland classification. Interobserver agreements for classification and the recommended treatment were highest for the elbow radiographs (weighted κ=0...
September 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/27241519/a-radiographic-investigation-of-the-relationships-between-humeral-cortical-bone-thickness-medullary-canal-width-and-the-supratrochlear-aperture-sta
#7
Robert Ndou, Sovana Maharaj, Lynne Alison Schepartz
The supratrochlear aperture (STA) is a perforation of the septum between the olecranon and coronoid fossae of the humerus. Bones with STA are prone to supracondylar fractures and are thought to have narrower medullary canals. Our aim was to explore the relationship of the STA with medullary canal width and humeral size. The study employed a case-control research design with approximately equal numbers of individuals with and without STA from South African Whites, Blacks, and the Mixed ethnic group. Radiographs were taken anteroposteriorly using a Lodox Statscan and Image J(®) software was used to acquire measurements from the radiographs...
May 30, 2016: Surgical and Radiologic Anatomy: SRA
https://www.readbyqxmd.com/read/27135083/-vascular-injury-following-supracondylar-humerus-fractures-in-children
#8
Emin Özkul, Mehmet Gem, Celil Alemdar, Hüseyin Arslan, İbrahim Azboy, Velat Çelik
BACKGROUND: The aim of this study was to evaluate the outcomes of the children with absent distal pulses following supracondylar humerus fractures. METHODS: Forty-two pulseless hand patients who were treated due to supracondylar humerus fractures were evaluated retrospectively. The evaluation included symptoms presented at preoperative and postoperative neurological examinations, mechanism of injury, time from injury to presentation, time from injury to surgery, length of hospital stay, and postoperative complications...
January 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27100041/closed-versus-open-supracondylar-fractures-of-the-humerus-in-children-a-comparison-of-clinical-and-radiographic-presentation-and-results
#9
Eliza Lewine, Jaehon M Kim, Patricia E Miller, Peter M Waters, Susan T Mahan, Brian Snyder, Daniel Hedequist, Donald S Bae
BACKGROUND: The purpose of this investigation was to compare the presentation and postoperative results of children treated for open and closed, completely displaced type III supracondylar humerus fractures (SCFs). METHODS: Thirty patients with open and 66 patients with closed, completely displaced type III SCFs were evaluated. Open fractures underwent irrigation and debridement, and all patients were treated by open or closed reduction and pin fixation. Medical records were reviewed to obtain demographic information as well as preoperative and postoperative clinical data regarding mechanism of injury, neurovascular status, associated injuries, postoperative range of motion, infections, and pain...
April 20, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27049206/transphyseal-distal-humerus-fracture
#10
Joshua Abzug, Christine Ann Ho, Todd F Ritzman, Brian Brighton
Transphyseal distal humerus fractures typically occur in children younger than 3 years secondary to birth trauma, nonaccidental trauma, or a fall from a small height. Prompt and accurate diagnosis of a transphyseal distal humerus fracture is crucial for a successful outcome. Recognizing that the forearm is not aligned with the humerus on plain radiographs may aid in the diagnosis of a transphyseal distal humerus fracture. Surgical management is most commonly performed with the aid of an arthrogram. Closed reduction and percutaneous pinning techniques similar to those used for supracondylar humerus fractures are employed...
2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/26972812/increased-pin-diameter-improves-torsional-stability-in-supracondylar-humerus-fractures-an-experimental-study
#11
Anupam Pradhan, William Hennrikus, Gregory Pace, April Armstrong, Gregory Lewis
BACKGROUND: Pediatric supracondylar humerus fractures are the most common elbow fractures seen in children, and account for 16 % of all pediatric fractures. Closed reduction and percutaneous pin fixation is the current treatment technique of choice for displaced supracondylar fractures of the distal humerus in children. The purpose of this study was to determine whether pin diameter affects the torsional strength of supracondylar humerus fractures treated by closed reduction and pin fixation...
April 2016: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/26808044/transphyseal-fracture-of-the-distal-humerus
#12
Joshua M Abzug, Christine A Ho, Todd F Ritzman, Brian K Brighton
Transphyseal fractures of the distal humerus typically occur in children younger than 3 years secondary to birth trauma, nonaccidental trauma, or a fall from a small height. Prompt and accurate diagnosis of the injury is crucial for a successful outcome. Recognizing that the forearm is not aligned with the humerus on plain radiography can aid in the diagnosis of the injury. Surgical management is most commonly performed with the aid of an arthrogram. Closed reduction and percutaneous pinning techniques similar to those used for supracondylar humerus fractures are employed...
February 2016: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/26743869/biomechanical-comparison-of-different-external-fixator-configurations-for-stabilization-of-supracondylar-humerus-fractures-in-children
#13
Lisa Hohloch, Lukas Konstantinidis, Ferdinand C Wagner, Peter C Strohm, Norbert P Südkamp, Kilian Reising
BACKGROUND: Currently, closed reduction and percutaneous pinning are considered the treatment of choice for displaced supracondylar humerus fractures. However, indications exist for the use of external fixation with Schanz screws. In this in vitro study, we evaluate the biomechanical properties of a new variation for external fixation and compare them to an established construct. METHODS: Twenty distal cadaver humeri (10 pairs) were allocated to 2 groups. The humeri of the first group were fixed by an external fixator consisting of Schanz screws and an oblique K-wire inserted from the distal radial cortex of the humerus, those of the second group were fixed by a new variation with the oblique K-wire inserted from the distal ulnar cortex of the humerus...
February 2016: Clinical Biomechanics
https://www.readbyqxmd.com/read/26683504/adolescent-distal-humerus-fractures-orif-versus-crpp
#14
Phillip Bell, Brian P Scannell, Bryan J Loeffler, Brian K Brighton, R Glenn Gaston, Virginia Casey, Melissa E Peters, Steven Frick, Lisa Cannada, Kelly L Vanderhave
BACKGROUND: Although supracondylar humerus fractures are common in young children, the incidence in adolescents is much lower. As a result, there is a paucity of literature to guide treatment. The purpose of this study was to review the treatment and outcomes for a consecutive series of distal humerus fractures in adolescents and to compare outcomes between patients treated with percutaneous skeletal fixation and those treated with open reduction and fixation. METHODS: A retrospective review of patients 10 to 17 years of age who underwent surgical treatment for a distal humerus fracture from 2005 to 2014 was performed...
December 17, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26588833/the-necessity-of-fixation-in-gartland-type-2-supracondylar-fracture-of-the-distal-humerus-in-children-modified-gartland-type-2a-and-2b
#15
Thanase Ariyawatkul, Perajit Eamsobhana, Kamolporn Kaewpornsawan
In type 2 supracondylar fracture, closed pinning has been recommended in most patients. However, a stable, mildly displaced fracture can be treated with nonsurgical means. If stable, mildly displaced fractures are categorized as Gartland type 2A and unstable fractures as type 2B, orthopedic surgeons will be greatly benefited while selecting the most appropriate treatment. This study was conducted to evaluate the results of pinning versus conservative treatment in these two groups of patients. Patients with Gartland type 2 supracondylar fractures were categorized into two groups: the first group (type 2A) consisted of patients with Baumann angle (BA) differing from the uninjured side by less than 5°; the second group (type 2B) consisted of patients with BA difference greater than or equal to 5°...
March 2016: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/26523703/utility-of-the-aaos-appropriate-use-criteria-auc-for-pediatric-supracondylar-humerus-fractures-in-clinical-practice
#16
Talal Ibrahim, Abdelsalam Hegazy, Safa I S Abulhail, Hassan M K Ghomrawi
BACKGROUND: The American Academy of Orthopaedic Surgeons (AAOS) recently developed an Appropriate Use Criteria (AUC) for pediatric supracondylar humerus fractures (PSHF). The AUC is intended to improve quality of care by informing surgeon decision making. The aim of our study was to cross-reference the management of operatively treated PSHF with the AAOS-published AUC. METHODS: The AUC for PSHF include 220 patient scenarios, based on different combinations of 6 factors...
October 30, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26462038/crossed-wires-versus-2-lateral-wires-in-management-of-supracondylar-fracture-of-the-humerus-in-children-in-the-hands-of-junior-trainees
#17
Mahmoud Abdel Karim, Ahmed Hosny, Nasef Mohamed Nasef Abdelatif, Mohamed Mahmoud Hegazy, Walid R Awadallah, Sherif A Khaled, Mostafa A Azab, Walid A ElNahal, Hany Mohammady
OBJECTIVES: The objective of this study was to evaluate and compare the outcome of the crossed and the lateral pin configurations in the management of supracondylar humeral fractures in children in the hands of junior trainees. DESIGN: Prospective randomized controlled trial. SETTING: Level I Trauma Center. PATIENTS: Sixty children with supracondylar humeral fractures. The mean age was 5.1 years (1.5-9 years). The minimum follow-up period was 6 months, with no patients lost to follow up...
April 2016: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/26165551/pediatric-t-condylar-humerus-fractures-a-systematic-review
#18
Jason B Anari, Alexander L Neuwirth, Nicholas M Carducci, Derek J Donegan, Keith D Baldwin
BACKGROUND: The pediatric T-condylar humerus fracture is different from its adult counterpart, and its rarity makes general consensus for treatment algorithms difficult to define. Pediatric orthopaedic surgeons tend to think of this fracture as a supracondylar humerus fracture with intra-articular extension. The transition age at which this injury resembles the adult distal humerus fracture and less so the pediatric supracondylar humerus fracture with intra-articular extension is unclear...
July 9, 2015: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/26137930/-treatment-of-posttraumatic-cubitus-varus-in-children-and-adolescents-supracondylar-humeral-osteotomy-using-radial-external-fixation
#19
T Slongo
OBJECTIVE: Precise adaptable fixation of a supracondylar humerus osteotomy with a radial/lateral external fixator to correct posttraumatic cubitus varus. INDICATIONS: Acquired, posttraumatic cubitus varus as a result of a malhealed and unsatisfactorily treated supracondylar humerus fracture. Idiopathic, congenital cubitus varus (very seldom) if the child (independent of age and after complete healing) is cosmetically impaired; stability of the elbow is reduced due to malalignment (hyperextension); secondary problems and pain (e...
June 2015: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/25929776/correction-of-cubitus-varus-after-pediatric-supracondylar-elbow-fracture-alternative-method-using-the-taylor-spatial-frame
#20
Mohan V Belthur, Christopher A Iobst, Noam Bor, Eitan Segev, Mark Eidelman, Shawn C Standard, John E Herzenberg
BACKGROUND: Cubitus varus is a well-reported complication of supracondylar fracture of the humerus potentially resulting in cosmetic problems, impaired function, and malpractice claims. Traditional methods of correcting malunited distal humeral fractures involve complex osteotomies that have a high complication rate, require a large exposure, and challenging fixation. We present a technique of gradual correction using a percutaneous transverse osteotomy and 3 dimensional correction with a Taylor Spatial Frame...
September 2016: Journal of Pediatric Orthopedics
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