2020-02-20 11:18 The Gartland classification of supracondylar fractures of the humerus is based on the degree and direction of displacement, and the presence of intact cortex. It applies to extension supracondylar fractures rather than the rare flexion supracondylar fracture. type I: undisplaced or minimally displaced Ia: undisplaced in both projections.
Overview. A supracondylar fracture is an injury to the humerus, or upper arm bone, at its narrowest point, just above the elbow. Supracondylar fractures are the most common type of upper arm injury in children. They are frequently caused by a fall on an outstretched elbow or a direct blow to the elbow. These fractures are relatively rare in adults. supracondylar humerus fracture types
A fracture involving the distal aspect of the humerus and just above the epicondyles. There types of fractures based on Gartland classification that are influenced by the degree of displacement and degree of bone cortex still intact with type I being managed most commonly with cast immbolization whereas type II& III requiring surgical correction.
42yearold laborer with an open Ttype supracondylar distal humerus fracture. 1 ( ) 2. 90yearold male with a comminuted transolecranon fracturedislocation of the elbow. 11 ( ) 3. Distal Humerus Fractures HPI 44yo female falls from 6 feet. In addition to the AP and Lateral radiographs above, what additional imaging supracondylar humerus fracture types
Associated injuries neuropraxia anterior interosseous nerve (AIN) neurapraxia (branch of median n. ) the most common nerve palsy seen with supracondylar humerus fractures. radial nerve palsy second most common neurapraxia (close second) ulnar nerve palsy seen with flexiontype injury patterns. Supracondylar fracture means elbow fracture. It is more common in young age children rather than adult individuals. Humerus, radius, and ulna are the three upper limb bones which joint together at Supracondylar (elbow) joint. Associated ligaments, muscles, nerves and blood vessels are often also injured in supracondylar fracture. Supracondylar fractures of the distal humerus are a commonly encountered injury in children. The association with neurovascular compromise and the potential problems of accurately reducing a displaced fracture can make treatment difficult particularly for the unwary surgeon. supracondylar humerus fracture types Description: Periosteum is usually intact. Type 4 a controversial category describing a fracture that is unstable in flexion and extension, implying a lack of intact periosteum. Occult supracondylar humerus fractures are common and suspected when there is a history of trauma, tenderness in the supracondylar region, Sep 09, 2014 The majority of pediatric supracondylar humerus fractures are extension type injuries. Fixation of these fractures requires attention to detail and avoidance of use of medial pinning when possible. Use of medial pins runs the risk of injury to the ulnar nerve and there is no additional biomechanical stability by adding medial pins.
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