Clinical and epidemiological characteristics of humeral supracondylar fractures in paediatric patients in a Regional General Hospital1

Barrón-Torres, Erika Alejandrina; Sánchez-Cruz, Juan Francisco; Cruz-Melendez, José Ramses

doi:10.1016/j.circen.2014.08.003

Cited by 8 publications

(13 citation statements)

References 17 publications

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“…In classifying fractures occurring in extension, the system most widely used and reproducible is the Gartland classification [4,15]. Wilkins [17] later introduced modifications of this system for displaced fractures, on the basis of the direction of the shift in the coronal plane of the distal fragment.…”

Section: Discussionmentioning

confidence: 99%

“…Supracondylar humerus fractures (SCHF) are common injury in children and represent the most frequent fractures involving the elbow [1][2][3]. These fractures affect mainly the male gender and occur prevalently in consequence of an extension mechanism [4]. The current treatment of displaced supracondylar fractures consists of closed reduction and percutaneous pin fixation using Kirschner wires, while some controversies still exist regarding the placement of the pins [5][6][7].…”

Section: Introductionmentioning

confidence: 99%

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Surgical Treatment of Displaced Supracondylar Pediatric Humerus Fractures: Comparison of Two Pinning Techniques

Pavone

Riccioli

Testa

et al. 2016

JFMK

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The aim of this study is to report the results of the treatment of displaced supracondylar humerus fractures comparing two different techniques, crossed and lateral pins. We retrospectively reviewed 35 children hospitalized between May 2005 and December 2012. Patients were treated with two different pin configurations, crossed (Group 1) and lateral (Group 2). After surgery, clinical and radiographic evaluation was performed. Postoperatively, the clinical assessment showed recovery of joint function of the elbow. Radiographically, Group 1 showed a difference in the Baumann angle between the value of the injured limb and the normal angle of 5.3˝˘2.12˝; in Group 2 the difference was 4.9˝˘2.82˝. Complications: group 1, two cases of short paresthesia, one case of slight varus, mild asymmetry, and deficit to extension of the humerus and group 2, two cases of local infection and one of a slight hyperextension were reported. Both groups achieved a satisfying outcome with similar results in joint function recovery and complications.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Surgical Treatment of Displaced Supracondylar Pediatric Humerus Fractures: Comparison of Two Pinning Techniques

Pavone

Riccioli

Testa

et al. 2016

JFMK

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“…Male gender was more frequent, but, after the increase in sports activities the sex ratio is similar. Accounting 90-98% of injuries, the extension trauma is the most frequent pathogenesis mechanism [4]. The gold standard technique is closed reduction and percutaneous pinning (CRPP) [5,6].…”

Section: Introductionmentioning

confidence: 99%

Is Supine Position Superior to Prone Position in the Surgical Pinning of Supracondylar Humerus Fracture in Children?

Pavone

Vescio

Riccioli

et al. 2020

JFMK

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Background: Supracondylar humerus fracture (SCHF) is a frequent injury in pediatric ages. Closed reduction and percutaneous pin fixation is a common treatment of displaced SCHF. Surgery is usually performed in the supine position; otherwise the prone position allows an easier fracture reduction and a safe placement of pins. The aim of study is to compare the clinical and radiographic results of the treatment of displaced SCHF, comparing two different intra-operative positionings. Methods: 59 SCHF affected children were retrospectively divided into supine (Group 1; n = 34) and prone (Group 2; n = 25), according to intraoperative position. All treated subjects were clinically evaluated according to Flynn’s criteria and Mayo Elbow Performance Score, and radiographically, including the measurement of the Baumann angle. Results: Clinically, Group 1, according Flynn’s criteria, had excellent cosmetic outcome in 32 subjects (94.1%). Mean MAYO Score was 96.0 ± 3.8. Group 2, according Flynn’s criteria, had excellent cosmetic outcomes in 23 subjects (92.0%). Mean MAYO Score was 97.8 ± 3.3. Radiographically, mean difference of Baumann’s angle between the injured limb and the normal limb was 5.5° ± 1.0° in Group 1 and 5.1° ± 1.1° in Group 2. Conclusion: Both supine and prone positioning achieved a satisfying outcome with similar results in joint function recovery and complications.

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“…Pediatric elbow fractures comprise approximately 10-15% of all pediatric fractures [1,2], and the trauma mostly involves the application of violent force on the elbow in extension [3][4][5]. Most parts of the pediatric elbow joint are cartilaginous and obtaining proper radiographs is often difficult due to failure to follow instructions [6]; thus, pediatric elbow injuries should be carefully evaluated.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic imaging for elbow TRASH lesions in children and usefulness of ultrasonography using standard planes

Shintani

Hosomi

Suzuki

et al. 2023

Journal of Pediatric Orthopaedics B

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Fractures around the elbow in children should be carefully evaluated because the main portion is cartilaginous, and radiographs are not completely reliable. This study aimed to assess the diagnostic imaging for pediatric elbow fractures that require special attention and consider the usefulness of ultrasonography with seven standard planes for the diagnosis. Patients diagnosed with elbow fractures wherein TRASH (The Radiographic Appearance Seemed Harmless) lesions were evaluated retrospectively. The diagnoses on initial radiographs, final diagnoses, additional imaging excluding radiographs, and the treatments were investigated. The standard planes for ultrasonography to detect elbow fractures included an anterior transverse scan at the level of the capitellum and proximal radioulnar joint, an anterior longitudinal scan at the level of the humeroradial and humeroulnar joints, a longitudinal scan along the lateral and medial border of the distal humerus, and a posterior longitudinal scan at the level of the distal humerus. A total of 107 patients with an average age of 5.8 years (range, 0–12 years) at the time of diagnosis were included. Of 46 (43.0%) patients misdiagnosed at the initial radiograph, 19 (17.8%) needed additional treatments due to inappropriate initial management. Ultrasonography using the standard planes was useful for prompt diagnosis and appropriate treatment. Prompt and appropriate evaluation with ultrasonography can prevent the mismanagement of pediatric elbow injuries. Level of evidence: Level IV-retrospective case series.

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Clinical and epidemiological characteristics of humeral supracondylar fractures in paediatric patients in a Regional General Hospital1

Cited by 8 publications

References 17 publications

Surgical Treatment of Displaced Supracondylar Pediatric Humerus Fractures: Comparison of Two Pinning Techniques

Surgical Treatment of Displaced Supracondylar Pediatric Humerus Fractures: Comparison of Two Pinning Techniques

Is Supine Position Superior to Prone Position in the Surgical Pinning of Supracondylar Humerus Fracture in Children?

Diagnostic imaging for elbow TRASH lesions in children and usefulness of ultrasonography using standard planes

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