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The distal end of humerus comprises of both articular and non-articular structures. Non- articular structure comprises of the medial epicondyle, lateral epicondyle, anterior coronoid and radial fossa and posterior olecranon fossa. 2020-07-13 · In most instances, pediatric supracondylar humerus fractures (SCHFs) result from a fall on outstretched hand with the elbow hyperextended. [3, 2] As in the assessment of any case of pediatric trauma, it is always necessary to consider the possibility of a nonaccidental injury, neglect, or both; however, these are rare with this fracture type.
8, 16, 39 These compelling facts continue to pique the interest and hold the attention of orthopedists who treat pediatric patients. 2020-08-10 · Supracondylar fractures of the humerus account for up to 18% of pediatric fractures overall, and up to 60% of elbow fractures. The modified Gartland classification is often used to describe fracture patterns and guide treatment. 2012-03-25 · The pulseless pink hand after supracondylar fracture of the humerus in children: the predictive value of nerve palsy.
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The nondominant extremity is most commonly affected. Children under three years of age typically sustain a supracondylar fracture after a fall from a height of less than 3 feet (eg, fall from a bed or couch).
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Type I refers to a fracture of the distal part of the humerus with no displacement, while type II refers to an angulated fracture of the distal part of the humerus with an intact posterior cortex, and finally, type III refers to a displaced fracture with no cortical contact [Figure1] . Etiology Most common < 10 years, peak age 5-8 y.o. 80% of all pediatric distal humerus fractures 2:1 males Classification Extension type: Extension type accounts for 90-98% of all supracondylar fx's Gartland Classification: I: nondisplaced IIA: displaced, Gartland classification is the commonest classification system used to grade supracondylar humerus fracture. Grade 1 fractures are the commonest, followed by Grade 2 and then Grade 3 [1,2]. In addition to these 3 types, Leitch et al described a type 4 fracture with multidirectional instability (unstable in both flexion and extension).
Treatment: In general, the Gartland Classification can be used for a basic treatment algorithm.
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Classification. type I: undisplaced or minimally displaced Classification of supracondylar fractures is relatively straightforward and based on three types 6,7: type I: undisplaced type II: displaced with intact posterior cortex 2020-04-15 = Fracture that involves the epiphyseal plate or growth plate of a bone Type I: undisplaced or minimally displaced fractures. Type II: displaced with posterior cortex intact Type III: displaced with no cortical intact Gartland’s classification of supracondylar fracture of humerus • Galeazzi fracture - a fracture … This almost 264 Biological methods of Fracture Management: L.Prakash Classification: The modified Gartland classification is often used in supracondylar fractures.
Treatment may consist of placement of a long arm cast with close follow-up or closed reduction and percutaneous pinning. Supracondylar fracture of the humerus - Emergency Department 1.
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Supracondylar fracture of the humerus is one of the most common injuries in children. 2012-03-25 Supracondylar fracture can be classified into three main types according to Gartland Classification [7]. Type I refers to a fracture of the distal part of the humerus with no displacement, while type II refers to an angulated fracture of the distal part of the humerus with an intact posterior cortex, and finally, type III refers to a displaced fracture with no cortical contact [Figure1] . www.ncbi.nlm.nih.gov included patients had humeral supracondylar fracture either type 2 or type 3 (Gartland classification). At the moment of admission the median age was 7.26 years.