Epidemiological Features of Supracondylar Fractures of the Humerus in Chinese Children

Cheng, Jc; Lam, TP; Maffulli, Nicola

doi:10.1097/01202412-200110010-00011

Cited by 4 publications

(3 citation statements)

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“…The injuries have predominantly involved the left or the nondominant side in almost all studies, and these demographic findings were similar to those published previously [15,16]. It was bilateral in two patients (0.7%).…”

Section: Discussionsupporting

confidence: 88%

Nerve injuries in supracondylar fractures of the humerus in children

Khademolhosseini

Rashid

Ibrahim

2013

Journal of Pediatric Orthopaedics B

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A retrospective study of nerve injuries with displaced supracondylar fractures of the humerus in children younger than 12 years of age, treated in Hospital Universiti Kebangsaan Malaysia. Our objectives were to determine the incidence of primary and iatrogenic nerve injuries in supracondylar humerus fractures Gartland types II and III and to determine the outcome of nerve recovery. A total of 272 patients with displaced supracondylar humerus fractures who required admission to Hospital Universiti Kebangsaan Malaysia from January 2000 to December 2007 were reviewed. There were 182 boys (67%) and 90 girls (33%). The mean age was 6.0 years, ranging from 1 to 12 years. Of 272 supracondylar fractures, 79 were type II and 193 were type III. Fifty-one (19%) patients had closed reduction, 160 (59%) had closed reduction and percutaneous crossed Kirschner (K) wires, and 61 (22%) had open reduction and crossed K-wires. Associated nerve injuries involving the median, radial, and ulnar nerves were observed in 48 (18%) patients. Nerve injuries were observed in nine (3%) patients upon admission. Thirty-nine (14%) patients developed nerve injuries following treatment. Of these 39 patients, 34 had ulnar, three had radial, and two had median nerve injuries. Nerve exploration was performed in five patients (in four patients following debridement of open fracture and in one because of unacceptable postoperative radiographs, and they subsequently underwent open reduction and exploration). Except for these five patients, the K-wires were not removed earlier nor were the nerves surgically explored in others. The nerve injuries resolved clinically on an average time of 3.5 months (range from 3 weeks to 8 months). Our study found complete resolution of all patients with nerve injuries confirmed by clinical assessment. On the basis of our study, we believe that there is no indication to remove the K-wires immediately or to explore the nerve surgically following a mini-open technique, which reduces the risk of penetrating a nerve during pinning.

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Section: Discussionsupporting

confidence: 88%

Nerve injuries in supracondylar fractures of the humerus in children

Khademolhosseini

Rashid

Ibrahim

2013

Journal of Pediatric Orthopaedics B

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“…Some studies indicate a greater risk in boys, but recent data have evidenced growing injury rates across both sexes [5][6][7], possibly due to increased participation in sports. Mechanism of injury is most often a fall onto the outstretched hand with the elbow in full extension, resulting in an extension type of fracture in 97-99% [6,7]. Especially in patients above the age of 8 years, this type of fracture most often results from high-energy traumas.…”

Section: Introductionmentioning

confidence: 99%

The displaced supracondylar humerus fracture

Ladenhauf

Schaffert

Bauer

2014

Current Opinion in Pediatrics

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“…10 Several studies have shown that the incidence of SC fractures varies from 48% to 58%. 11 12 13 14 Okubo et al attributed different trauma mechanisms (varus/valgus impacted force) and different elbow axes in different ethnicities as the cause of varied incidence of elbow fractures. 15…”

Section: Discussionmentioning

confidence: 99%

Epidemiological Evaluation of Pediatric Elbow Injuries: A Retrospective Observational Single Center

Bhat

Sehgal

Kapila

et al. 2021

International Journal of Recent Surgical and Medical Sciences

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Introduction Elbow fractures are the commonest fractures in the pediatric age group. The aim of this study is to evaluate the epidemiology of fresh and neglected pediatric elbow fractures in a hilly state of India with a limited health care facility. Materials and Methods This was a retrospective observational single-center study conducted between January 2019 and January 2021. Results Supracondylar was the most common fracture in 58.7% of patients followed by lateral condyle and proximal radius fracture. The highest number of fractures were reported in the age group of 5 to 8 years. In addition, 19% of patients presented with associated complications, 8% of patients had combination injuries of the ipsilateral upper limb, 16% of patients presented to the hospital 1 week after the trauma, 48% of patients had the first contact with a bonesetter/native practitioner. Conclusion Supracondylar fracture was the most common elbow fracture followed by lateral condyle. The most common involved age group was 5 to 8 years. A significant number of elbow fractures are mismanaged by native practitioners in rural India.

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Epidemiological Features of Supracondylar Fractures of the Humerus in Chinese Children

Cited by 4 publications

References 0 publications

Nerve injuries in supracondylar fractures of the humerus in children

Nerve injuries in supracondylar fractures of the humerus in children

The displaced supracondylar humerus fracture

Epidemiological Evaluation of Pediatric Elbow Injuries: A Retrospective Observational Single Center

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