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Supracondylar humerus fracture in children

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https://www.readbyqxmd.com/read/28162172/-radiographic-and-clinical-assessment-of-supracondylar-humeral-fractures-resulted-from-sports-in-children
#1
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
#2
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
#3
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
#4
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
#5
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
https://www.readbyqxmd.com/read/27917439/supracondylar-humerus-fractures-in-children-the-effect-of-weather-conditions-on-their-risk
#6
Juha-Jaakko Sinikumpu, Tytti Pokka, Hanna Hyvönen, Reija Ruuhela, Willy Serlo
INTRODUCTION: Supracondylar humerus fractures are the most common fractures of the elbow in children. Many environmental factors such as weather conditions may affect the risk of these fractures. The purpose of the study was to analyze the effect of weather conditions (temperature, rainfall, wind) on fracture risk in children <16 years of age during the extended summer time period with the absence of snow cover. MATERIALS AND METHODS: All children <16 years of age with an outdoor supracondylar humerus fracture between May 1 and September 30 in a defined geographical area during the decade of 2000-2009 were included...
February 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/27849326/comparison-of-lateral-versus-triceps-splitting-posterior-approach-in-the-surgical-treatment-of-pediatric-supracondylar-humerus-fractures
#7
Faik Türkmen, Serdar Toker, Kayhan Kesik, İsmail Hakkı Korucu, Mehmet Ali Acar
BACKGROUND: Supracondylar humerus fracture is the most common fracture of the elbow in children. Closed reduction and percutaneous pinning is considered to be the optimal treatment strategy; however, in some instances, open reduction may be necessary. The aim of this retrospective study was to compare clinical and functional results of triceps-splitting posterior versus lateral approach in pediatric supracondylar humerus fracture surgery. METHODS: A total of 38 patients underwent surgery; Group 1 consisted of 30 patients on whom posterior approach was used, while lateral approach was used on the 8 patients in Group 2...
September 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27803229/lateral-closing-isosceles-triangular-osteotomy-for-the-treatment-of-a-post-traumatic-cubitus-varus-deformity-in-children
#8
Y Su, G Nan
AIMS: Cubitus varus is the most common late complication of a supracondylar fracture of the humerus in children. Correction can be performed using one of a number of techniques of osteotomy but each has disadvantages. We describe a new technique for correcting post-traumatic cubitus varus using a lateral closing wedge isosceles triangular osteotomy. PATIENTS AND METHODS: A lateral closing wedge isosceles triangular osteotomy was performed in 25 patients (15 male and ten female with a mean age of 9...
November 2016: Bone & Joint Journal
https://www.readbyqxmd.com/read/27776053/the-effect-of-the-pucker-sign-on-outcomes-of-type-iii-extension-supracondylar-fractures-in-children
#9
Dallas M Smuin, William L Hennrikus
BACKGROUND: The pucker sign, also called skin tenting, indicates significant displacement of the supracondylar fracture and can be a cause for alarm. The purpose of this study is to compare a cohort of patients with type III supracondylar fractures presenting with a pucker sign to a group without a pucker sign by evaluating neurovascular injury at presentation, need for open reduction, persistent neurovascular injury, range of motion, and carrying angle at final follow-up. METHODS: A retrospective review was performed for Gartland type III extension type supracondylar fractures...
October 21, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27776052/fracture-classification-does-not-predict-functional-outcomes-in-supracondylar-humerus-fractures-a-prospective-study
#10
Justin Ernat, Christine Ho, Robert L Wimberly, ChanHee Jo, Anthony I Riccio
BACKGROUND: Few studies have prospectively assessed functional outcomes after the surgical management of supracondylar humerus fractures (SCHFXs) and the relationship between fracture pattern and ultimate patient outcome has never been prospectively evaluated. The purpose of this study was to prospectively evaluate fracture classification and functional outcome in children with extension SCHFXs using validated outcome measures. METHODS: An Institutional Review Board-approved prospective enrollment of consecutive patients with operative SCHFX was performed over a 3-year period...
October 21, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27774833/outcome-after-pin-fixation-of-supracondylar-humerus-fractures-in-children-postoperative-radiographic-examinations-are-unnecessary
#11
Noora Tuomilehto, Reetta Kivisaari, Antti Sommarhem, Aarno Y Nietosvaara
Background and purpose - The quality of pin fixation of displaced supracondylar humerus fractures in children has not been assessed, and the clinical value of radiographic examinations after pin fixation is unclear. We evaluated pin configuration, quality of osteosynthesis, and outcome in 264 supracondylar fractures. The clinical significance of postoperative radiographs was analyzed. Patients and methods - 252 Gartland-III and 12 flexion-type supracondylar humerus fractures were pin-fixed in the periods 2002-2006 and 2012-2014...
February 2017: Acta Orthopaedica
https://www.readbyqxmd.com/read/27709874/transphyseal-distal-humerus-fracture
#12
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/27709872/open-reduction-techniques-for-supracondylar-humerus-fractures-in-children
#13
Jessica Jane Wingfield, Christine Ann Ho, Joshua M Abzug, Todd F Ritzman, Brian Brighton
Supracondylar humerus fractures are the most common elbow fractures in children. Displaced supracondylar humerus fractures that are associated with neurologic and/or vascular injuries should be treated with timely reduction via closed techniques. If closed reduction fails, reduction via open techniques is indicated. There is controversy about which surgical approach yields the best cosmetic and functional outcomes while minimizing postoperative complications. Open reduction, if indicated, has been reported to yield good outcomes in patients in whom closed reduction fails...
February 15, 2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27709871/current-strategies-for-the-management-of-pediatric-supracondylar-humerus-fractures-tips-and-techniques-for-successful-closed-treatment
#14
Brian Brighton, Joshua M Abzug, Christine Ann Ho, Todd F Ritzman
Pediatric supracondylar humerus fractures are the most commonly encountered type of elbow fractures in children that require surgical fixation. Many pediatric supracondylar humerus fractures can be treated with closed reduction and percutaneous skeletal fixation. In difficult fractures, adjunct pin techniques, such as joystick wires and leverage pins, can be used to help attain a satisfactory and stable reduction before an open approach is used. After the fracture is reduced, optimal pinning, with the use of either crossed or lateral-entry techniques, and fixation that achieves maximal spread at the fracture site as well as bicortical engagement in both fragments are essential to maintain reduction and avoid complications that are associated with malunion...
February 15, 2016: Instructional Course Lectures
https://www.readbyqxmd.com/read/27598607/medial-mini-open-versus-percutaneous-pin-fixation-for-type-iii-supracondylar-fractures-in-children
#15
Ersin Erçin, Mustafa Gökhan Bilgili, Emre Baca, Serdar Hakan Başaran, Alkan Bayrak, Cemal Kural, Mustafa Cevdet Avkan
BACKGROUND: The present objective was to compare medial mini-open and percutaneous treatment of pediatric supracondylar fractures according to fluoroscopy time, duration of surgery, and iatrogenic ulnar nerve injury. METHODS: A total of 104 Gartland type III supracondylar humerus fractures were prospectively evaluated between 2011 and 2013. Patients were divided into 2 groups according to type of fixation. In Group A (41 patients), medial pin was inserted with mini-open incision with 2 lateral pins inserted percutaneously...
July 2016: Ulusal Travma Ve Acil Cerrahi Dergisi, Turkish Journal of Trauma & Emergency Surgery: TJTES
https://www.readbyqxmd.com/read/27516828/-cubitus-varus-external-subtraction-osteotomy-should-it-still-be-recommended-retrospective-study-of-25-cases
#16
Aniss Chagou, Réda Allah Bassir, Abdelkarim Rhanim, Abdou Lahlou, Mohammed Saleh Berrada, Moradh Yaacoubi
Cubitus varus or malunion is most often secondary to displaced supracondylar fractures of the lower end of the humerus in children. Various surgical techniques have been proposed with different success rates but also with different reported complication rates. Our retrospective study of 25 cases diagnosed at the University Hospital of Rabat evaluated the results of the technique of external subtraction which was used in our training to handle this deformation.
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27512230/early-results-of-displaced-supracondylar-fractures-of-humerus-in-children-treated-by-closed-reduction-and-percutaneous-pinning
#17
Mehraj Din Tantray
No abstract text is available yet for this article.
July 2016: Indian Journal of Orthopaedics
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
#18
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/27276857/displaced-supracondylar-humeral-fractures-in-children-comparison-of-three-treatment-approaches
#19
COMPARATIVE STUDY
Sinisa Ducić, Marko Bumbasirević, Vladimir Radlović, Petar Nikić, Zoran Bukumirić, Radivoj Brdar, Zoran Radojicić, Bojan Bukva, Dusan Abramović, Tatjana Jaramaz Ducić
INTRODUCTION: Closed reduction and percutaneous pinning are the most widely used treatment options for displaced supracondylar humerus fractures in children, but there is still no consensus concerning the most preferred technique in injuries of the extension type. OBJECTIVE: The aim of this study was to compare three common orthopaedic procedures in the treatment of displaced extension type supracondylar humerus fractures in children. METHODS: Total of 93 consecutive patients (66 boys and 27 girls) referred to our hospital with Gartland type II or III extension supracondylar humeral fractures were prospectively included in the study over a six-year period...
January 2016: Srpski Arhiv za Celokupno Lekarstvo
https://www.readbyqxmd.com/read/27270906/routine-radiographs-at-time-of-pin-removal-after-closed-reduction-and-percutaneous-pinning-for-type-2-supracondylar-humerus-fractures-do-not-change-management-a-retrospective-cohort-study
#20
Sumeet Garg, Nikki Bloch, Micaela Cyr, Patrick Carry
PURPOSE: Radiographs are usually taken on day of pin removal for children treated with closed reduction and percutaneous pinning (CRPP) of type 2 supracondylar humerus fractures. The purpose of this study was to determine whether radiographs taken at time of pin removal for patients recovering uneventfully alter management. METHODS: After IRB approval, billing records identified 1213 patients aged 1-10 years who underwent elbow surgery between 2007 and 2013 at our institution for a supracondylar humerus fracture...
August 2016: Journal of Children's Orthopaedics
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