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Supracondylar humerus fracture in children

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https://www.readbyqxmd.com/read/28938085/understanding-humerus-fractures-in-young-children-abuse-or-not-abuse
#1
Norell Rosado, Elizabeth Ryzna, Emalee G Flaherty
Fractures are the second most common abusive injury occurring in young children, particularly those under 2 years of age. The humerus is often affected. To better identify factors discriminating between abusive and non-abusive humerus fractures, this retrospective study examined the characteristics and mechanisms of injuries causing humerus fractures in children less than 18 months of age. Electronic medical records were reviewed for eligible patients evaluated between September 1, 2007 and January 1, 2012 at two children's hospitals in Chicago, IL...
September 18, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/28884101/what-is-the-best-fixation-technique-for-the-treatment-of-supracondylar-humerus-fractures-in-children
#2
Gyoguevara Sol Queiroz Andrade Patriota, Carlos Alberto Assunção Filho, Carlos Alberto Assunção
OBJECTIVE: To define the best technique for the surgical treatment of supracondylar fracture of the humerus (SFH) in children, evaluating percutaneous pinning with side wires vs. cross-pinning. METHODS: Randomized controlled trials using the Medline, CAPES, and BIREME. The criteria for inclusion of articles criteria were: (1) randomized controlled trials (RCTs) comparing percutaneous wire fixation techniques, (2) SFH Gartland II B, III, and IV, and (3) children aged 1-14 years...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28735846/gartland-types-iib-and-iii-supracondylar-fractures-of-the-humerus-in-children-is-blount-s-method-effective-and-safe
#3
Thuy-Trang Pham, Franck Accadbled, Abdelaziz Abid, Aissa Ibnoulkhatib, Xavier Bayle-Iniguez, Matthieu Wargny, Jérôme Sales de Gauzy
BACKGROUND: Blount's method is controversial for the treatment of Gartland types IIB and III supracondylar fracture of the humerus (SCFH) in children. The purpose of this study was to evaluate the clinical and radiologic outcomes and the failure and complication rates. METHODS: All types IIB and III SCFH treated with Blount's method from 2003-2013 were included in this retrospective single-center study. Clinical assessment was performed according to Flynn criteria...
July 20, 2017: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/28678003/closed-reduction-and-percutaneous-pinning-of-supracondylar-humerus-fractures-in-children-using-a-semi-sterile-technique-in-a-low-resource-south-asian-setting-infection-rate-and-functional-outcome
#4
Manoj K Gupta, Sanjay Meena, Sumit Anand, Rajendra K Arya
The purpose of this study was to determine infection rate and functional outcome after percutaneous pinning of supracondylar humeral fractures using a semi-sterile technique. A total of 183 children were treated in this fashion between 2008 and 2014. They were evaluated for postoperative infection and other complications. Clinical evaluation was made using Flynn's criteria. Only seven patients (4%) developed superficial pin tract infections, which all settled with pin tract dressings and oral antibiotics. Loss of reduction was seen in 22 (12%) patients, cubitus varus in six (3%) and nerve injury in four (2%)...
January 1, 2017: Tropical Doctor
https://www.readbyqxmd.com/read/28640089/functional-outcomes-of-gartland-iii-supracondylar-humerus-fractures-with-early-neurovascular-complications-in-children-a-retrospective-observational-study
#5
COMPARATIVE STUDY
Sung Il Wang, Tae Young Kwon, Hong Pil Hwang, Jung Ryul Kim
This was a retrospective observational study. The aim of this study was to evaluate functional outcomes in children treated for Gartland III supracondylar humerus (SCH) fracture with neurovascular (NV) injuries using validated outcome measures. A secondary goal was to determine whether clinical parameters such as age at injury, sex, weight, fracture site, and/or direction of displacement could predict NV injury at the time of fracture or long-term functional outcomes in these patients.One hundred fifty-four patients of Gartland III SCH fractures between March 2004 and May 2013 were studied retrospectively...
June 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28628579/distal-humeral-flexion-osteotomy-for-the-treatment-of-supracondylar-extension-type-malunions-in-children
#6
Sebastian Farr, Rudolf Ganger, Werner Girsch
Distal humeral extension-type malunions may occur as a complication following improper reduction of supracondylar humerus fractures. We evaluated results after distal humeral flexion osteotomies for sagittal realignment of the humeral condyle in children. Medical records and radiographs of all patients younger than 18 years of age, who underwent this procedure because of a clinically relevant lack of elbow flexion, were evaluated. In a cohort of 18 children with a mean age of 8 years at the time of surgery and a mean follow-up duration of 1 year, elbow flexion increased significantly from a mean of 101° preoperatively to 126° at the final follow-up; established radiographic parameters (e...
June 16, 2017: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/28619746/informal-regionalization-of-pediatric-fracture-care-in-the-greater-toronto-area-a-retrospective-cross-sectional-study
#7
Daniel Pincus, Steven Morrison, Martin F Gargan, Mark W Camp
BACKGROUND: Operative management of pediatric fractures is an expected competency in the specialty of Orthopedic Surgery. However, specialized pediatric centres may be providing care for increasing numbers of patients with fractures previously treated at community hospitals. The primary objective of this study was to examine trends in presentation of children with fractures to a specialized pediatric centre. METHODS: We performed a detailed chart review to examine trends in presentation of children aged 14 years or less with supracondylar humerus or femur fractures to a specialized pediatric centre (Hospital for Sick Children, Toronto) from anywhere in the Greater Toronto Area between Apr...
June 14, 2017: CMAJ Open
https://www.readbyqxmd.com/read/28511800/epidemiologic-pattern-of-paediatric-supracondylar-fractures-of-humerus-in%C3%A2-a%C3%A2-teaching-hospital-of-rural-india-a-prospective-study-of-263-cases
#8
Rashid Anjum, Vivek Sharma, Ramesh Jindal, Tarun Pratap Singh, Narender Rathee
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 analysed for various epidemiologic parameters including age, sex, laterality, time of presentation, associated injuries, neurovascular complications and classification over a period of four years...
June 2017: Chinese Journal of Traumatology, Zhonghua Chuang Shang za Zhi
https://www.readbyqxmd.com/read/28511466/management-of-cubitus-varus-deformity-in-children-by-closed-dome-osteotomy
#9
Partap Singh Verka, Ujjwal Kejariwal, Bijendra Singh
INTRODUCTION: Supracondylar fractures are the most common elbow injuries in skeletally immature children between 5-10 years of age and cubitus varus deformity is the most common late complication. Cubitus varus or bow elbow or gunstock deformity is the result of malunion occurring as a complication of supracondylar fracture of the humerus. Various type of corrective osteotomies are used of which lateral closed wedge French osteotomy is commomly used which has its own complications like lateral condylar prominence, unsightful scar and limitation of movement...
March 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28435568/early-vessels-exploration-of-pink-pulseless-hand-in-gartland-iii-supracondylar-fracture-humerus-in-children-facts-and-controversies
#10
T Z Tunku-Naziha, Wms Wan-Yuhana, D Hadizie, Muhammad-Paiman, S Abdul-Nawfar, W S Wan-Azman, M S Arman-Z, S Abdul-Razak, M Z Rhendra-Hardy, W I Wan-Faisham
The management of pink pulseless limbs in supracondylar fractures has remained controversial, especially with regards to the indication for exploration in a clinically well-perfused hand. We reviewed a series of seven patients who underwent surgical exploration of the brachial artery following supracondylar fracture. All patients had a non-palpable radial artery, which was confirmed by Doppler ultrasound. CT angiography revealed complete blockage of the artery with good collateral and distal run-off. Two patients were more complicated with peripheral nerve injuries, one median nerve and one ulnar nerve...
March 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28435560/humeral-supracondylar-fractures-in-children-a-novel-technique-of-lateral-external-fixation-and-kirschner-wiring
#11
R Y Kow, A R Zamri, J K Ruben, S Jamaluddin, M T Mohd-Nazir
Introduction: Supracondylar fracture of the humerus is the most common fracture around the elbow in children. Pinning with Kirschner wires (K-wires) after open or closed reduction is generally accepted as the primary treatment modality. However, it comes with the risk of persistent instability and if the K-wire is not inserted properly, it may cause displacement and varus deformity. We present our two-year experience with a new technique of lateral external fixation and K-wiring of the humeral supracondylar fracture...
July 2016: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/28367440/analysis-of-early-neurovascular-complications-of-pediatric-supracondylar-humerus-fractures-a-long-term-observation
#12
Ryszard Tomaszewski, Artur Wozowicz, Paulina Wysocka-Wojakiewicz
Purpose. Analysis of early vascular and nerve complications of supracondylar humerus fractures in children. Material and Methods. 220 children hospitalized in the Pediatric Trauma-Orthopedic Department in the years 2004-2014. The group consisted of 143 males and 77 females. Results. Acute neurovascular complications occurred in 16.81% of patients with displaced supracondylar fracture (37 children). Nerve damage was found in 10% of patients with displaced fracture (22 children). The most injured nerve was median nerve; this complication occurred in 15 patients (68...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28288688/postoperative-brachial-artery-entrapment-associated-with-pediatric-supracondylar-fracture-of-the-humerus-a-case-report
#13
David Latz, Jan Grassmann, Erik Schiffner, Sebastian Gehrmann, Mansur Duran, Joachim Windolf, Pascal Jungbluth
BACKGROUND: Severely displaced supracondylar fractures of the humerus in children are frequently associated with complications including neurovascular injuries, non-union, or compartment syndrome. In the current literature, no report exists about postoperative brachial artery entrapment in combination with an inconspicuous preoperative neurovascular examination. CASE PRESENTATION: We present a case of a 6-year-old white boy with a pulseless radial and ulnar artery after open reduction and internal fixation of a severely displaced supracondylar fracture of his right humerus (Gartland type III) using four K-wires...
March 14, 2017: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/28251295/management-of-pin-tract-infection-in-pediatric-supracondylar-humerus-fractures-a-comparative-study-of-three-methods
#14
Di Lu, Te Wang, Hua Chen, Liao-Jun Sun
The objective of this study was to prospectively compare the incidence of pin tract infection in pediatric supracondylar humerus fractures managed with pin care daily or every other day or weekly. We hypothesized that there were some differences between these three methods. From June 2012 to May 2015, 135 children with supracondylar humerus fractures were randomized to postoperative pin care by cleaning pin tracts daily (group A, 45 cases) or cleaning every 2 days (group B, 45 cases) or cleaning weekly (group C, 45 cases)...
May 2017: European Journal of Pediatrics
https://www.readbyqxmd.com/read/28249353/ultrasound-is-a-useful-tool-to-evaluate-nerve-involvement-in-children-with-supracondylar-humerus-fractures
#15
Marina A Bellavia, Chiara Cambise, Daniele Coraci, Giulio Maccauro, Antonio Valassina, Luca Padua
No abstract text is available yet for this article.
September 2017: Muscle & Nerve
https://www.readbyqxmd.com/read/28162172/-radiographic-and-clinical-assessment-of-supracondylar-humeral-fractures-resulted-from-sports-in-children
#16
Z J Liu, S N Pan, L J Zhang
Objective: To investigate the radiographic and clinical assessment for supracondylar humeral fractures resulted from sports in children. Methods: The medical records of 166 patients with displaced supracondylar humerus fractures treated in Shengjing Hospital of China Medical University from January 2015 to December 2015 were reviewed.The etiology of 56 of 166 cases was relevant to the sports.Medical records of 56 of 166 patients were reviewed, incluidng gender, the mean age of patient at the time of surgery, the mean duration of injury, radiographic assessment based on the anteroposterior (AP) and lateral radiographs of the elbow, neurologic injury, the Mayo Elbow Performance Score (MEPS) and the criteria of Flynn...
January 17, 2017: Zhonghua Yi Xue za Zhi [Chinese medical journal]
https://www.readbyqxmd.com/read/28141693/time-to-return-to-school-after-10-common-orthopaedic-surgeries-among-children-and-adolescents
#17
Samuel C Willimon, Marjorie M Johnson, Mackenzie M Herzog, Michael T Busch
BACKGROUND: Return to school among adolescents is often overlooked in orthopaedic outcome studies. The purpose was to measure the time missed from school after 10 common orthopedic surgeries. METHODS: Patients, 5 to 19 years old enrolled in elementary, middle, or high school, who underwent treatment for fixation of type III supracondylar humerus fracture, midshaft femur fracture fixation, isolated anterior cruciate ligament reconstruction, isolated partial menisectomy, adolescent idiopathic scoliosis fusion, closed reduction of both-bone forearm fracture, arthroscopic Bankart repair, hip arthroscopy with femoroacetabular impingement correction, limb length discrepancy correction, or surgical fixation of slipped capital femoral epiphysis during the 2014/2015 and 2015/2016 school years were identified for this Institutional Review Board-approved study...
January 30, 2017: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/28028413/treatment-of-pediatric-open-supracondylar-humerus-fractures-case-report
#18
Tabet A Al-Sadek, Desislav Niklev, Ahmed Al-Sadek
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 height about 3 hours before admission. On examination, the elbow was found to be markedly swollen with restriction of movement of the right arm...
December 15, 2016: Open Access Macedonian Journal of Medical Sciences
https://www.readbyqxmd.com/read/27956078/is-pin-configuration-the-only-factor-causing-loss-of-reduction-in-the-management-of-pediatric-type-iii-supracondylar-fractures
#19
Ali Reisoglu, Cemal Kazimoglu, Emre Hanay, Haluk Agus
OBJECTIVE: Closed reduction with percutaneous pinning is the treatment of choice for displaced supracondylar humerus fractures in children. In addition to configuration of pin fixation, many factors have been attributed to loss of reduction (LOR). The aim of the present study was to review potential factors that contribute to loss of reduction in the closed management of type III pediatric supracondylar fractures. METHODS: Treatment of 87 patients with type III supracondylar fractures was reviewed to determine factors associated with loss of reduction; 48 patients were treated with lateral pinning and 39 with crossed-pinning after closed reduction...
January 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/27936484/gartland-type-ii-supracondylar-humerus-fractures-their-operative-treatment-and-lateral-pinning-are-increasing-a-population-based-epidemiologic-study-of-extension-type-supracondylar-humerus-fractures-in-children
#20
Juha-Jaakko Sinikumpu, Tytti Pokka, Minna Sirviö, Willy Serlo
Background Supracondylar humerus fractures are usual in children but their recent trends are unclear. Material and Methods A population-based study was performed to determine the epidemiology of childhood supracondylar humerus fractures during the decade, 2000 to 2009, in a geographic area of Oulu, Finland. Altogether, 565 extension-type supracondylar humerus fractures were included. The fractures and their treatment were analyzed according to the Gartland classification. Results Fracture incidence increased by 28%, from 50...
December 9, 2016: European Journal of Pediatric Surgery
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