Supracondylar fractures of the humerus

Marquis, Christopher; Cheung, Graham; Dwyer, Jonathan; Emery, David

doi:10.1016/j.cuor.2007.12.002

Cited by 25 publications

(18 citation statements)

References 58 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This peak is thought to be associated with the fact that the capsule and ligaments supporting the elbow have been revealed to have greater tensile strength than the bone itself, which leads to preferential fracture of the vulnerable supracondylar region when sufficient force is applied across it. Seventy-five percent of supracondylar fracture occurred in males, which correlates to the Marquis study ( 11 ). Uncontrolled and unlimited playing for boys such as cycling and playground injuries make the male gender more vulnerable to fracture ( 12 ).…”

Section: Discussionsupporting

confidence: 79%

“…Association between age groups and supracondylar fracture was repeated in other studies. The incidence of this type of fracture peaks between 2 - 7 years ( 11 ). This peak is thought to be associated with the fact that the capsule and ligaments supporting the elbow have been revealed to have greater tensile strength than the bone itself, which leads to preferential fracture of the vulnerable supracondylar region when sufficient force is applied across it.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pediatric Elbow Fractures in a Major Trauma Center in Iran

Behdad

Hosseinpour

2013

Arch Trauma Res

View full text Add to dashboard Cite

BackgroundElbow fractures are one of the most common traumatic fractures in the pediatric population. Since severe complications may occur, appropriate diagnosis and treatment are imperative when dealing with this type of fracture.ObjectivesThe aim of this study was to evaluate the epidemiology of elbow fracture in children admitted in Alzahra hospital, Isfahan, IR Iran over a one year period.Patients and MethodsDuring a one year period, a prospective study was conducted on 300 patients under the age of 16 who had sustained elbow fractures. Data included age, gender, mechanism of trauma, type of elbow fractures, complications, and outcomes.ResultsThe mean age of the patients was 8.1 ± 2.31 years old. Boys were injured 2.6 times more often than the girls. Falling was the major cause of pediatric elbow fractures (86%). Supra condylar were the most common type of fracture. There was a significant association between gender and type of injury (P < 0.01).ConclusionsSupracondylar fracture is the most common fracture type resulting from 4 - 8 year old boys’ falls. Our findings indicate the critical nature of appropriate treatment in order to prevent severe complications.

show abstract

Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Pediatric Elbow Fractures in a Major Trauma Center in Iran

Behdad

Hosseinpour

2013

Arch Trauma Res

View full text Add to dashboard Cite

show abstract

“…Generally, a higher rate of growth disturbances and other complications is seen in flexion-type fractures compared to most other fractures in children (Marquis et al. 2008 , Miranda et al. 2014 ).…”

Section: Discussionmentioning

confidence: 99%

“…Thereafter, the incidence decreases until the age of 15, when the nature of the fracture is more like that in adults (Marquis et al. 2008 ). Older children often have greater displacement in their fracture pattern.…”

mentioning

confidence: 99%

Low incidence of flexion-type supracondylar humerus fractures but high rate of complications

et al. 2016

View full text Add to dashboard Cite

Background and purposeSupracondylar humerus fractures are the most common type of elbow fracture in children. A small proportion of them are flexion-type fractures. We analyzed their current incidence, injury history, clinical and radiographic findings, treatment, and outcomes.Patients and methodsWe performed a population-based study, including all children <16 years of age. Radiographs were re-analyzed to include only flexion-type supracondylar fractures. Medical records were reviewed and outcomes were evaluated at a mean of 9 years after the injury. In addition, we performed a systematic literature review of all papers published on the topic since 1990 and compared the results with the findings of the current study.ResultsDuring the study period, the rate of flexion-type fractures was 1.2% (7 out of 606 supracondylar humeral fractures). The mean annual incidence was 0.8 per 105. 4 fractures were multidirectionally unstable, according to the Gartland-Wilkins classification. All but 1 were operatively treated. Reduced range of motion, changed carrying angle, and ulnar nerve irritation were the most frequent short-term complications. Finally, in the long-term follow-up, mean carrying angle was 50% more in injured elbows (21°) than in uninjured elbows (14°). 4 patients of the 7 achieved a satisfactory long-term outcome according to Flynn’s criteria.InterpretationSupracondylar humeral flexion-type fractures are rare. They are usually severe injuries, often resulting in short-term and long-term complications regardless of the original surgical fixation used.

show abstract

“…[1][2][3][4] They typically occur within the first decade of life, with a peak incidence between ages 5 and 8. 5,6 Supracondylar fractures occur more commonly in males 6 and the left side is predominantly injured.…”

Section: Introductionmentioning

confidence: 99%

Temporal characteristics of paediatric supracondylar humerus fractures

McRae

Nusem

2017

Trauma

View full text Add to dashboard Cite

Objective: Supracondylar humeral fractures are the most common elbow injury occurring in the paediatric population, accounting for 55-80% of all elbow fractures and 3-18% of all paediatric fractures. They occur most commonly due to a fall from play equipment or furniture. This study aims to determine if any relationship exists between supracondylar humeral fractures and any temporal or injury characteristics. It was hypothesised that an increased incidence of supracondylar fractures would be observed in summer months and on weekends. Methods: All patients <18 years of age with an isolated distal humerus supracondylar fracture between 2004 and 2014 were included in this study (n ¼ 569). Patient demographics and fracture characteristic data were collected. Hypothesis testing was performed to assess for any statistically significant relationship between fracture incidence and temporal or injury characteristics. Patients were then divided based on their management (conservative vs. operative) and hypothesis testing was performed to determine whether any difference existed between the management groups with regards to temporal and injury characteristics. Results: No statistically significant association was noted between fracture incidence and gender, laterality, or day/ month/season of injury. Time of injury and presentation to the Emergency Department demonstrated significant results, with highest incidence in the afternoon hours (12:00-17:59). Conclusions: Unlike previous international studies, no significant difference was noted between day/month/season of injury and incidence of supracondylar fracture. This is thought to be likely due to the difference in climate between Australia and other countries.

show abstract

Supracondylar fractures of the humerus

Cited by 25 publications

References 58 publications

Pediatric Elbow Fractures in a Major Trauma Center in Iran

Pediatric Elbow Fractures in a Major Trauma Center in Iran

Low incidence of flexion-type supracondylar humerus fractures but high rate of complications

Temporal characteristics of paediatric supracondylar humerus fractures

Contact Info

Product

Resources

About