due to open fractures with associated bone loss should be treated with bone grafting at a minimum of 6 to 8 weeks from the time of the initial stabilization. Which of the following additional findings is most likely to be discovered? Tested Concept, Lag screw fixation followed by non-locking plate application, External fixation and percutaneous screw reduction of the fracture, Lag screw fixation followed by locking plate application, (OBQ10.219) A 44-year-old male is involved in a motorcycle collision and presents with the radiographs shown in Figure A. What is a disadvantage of the fixation construct shown in Figure B compared to Figure C for this injury pattern? They may be difficult to manage and can be associated with significant complications including nerve injury, vascular compromise, malunion and compartment syndrome. Which of the following radiographs is consistent with his injury? Above the elbow (supracondylar). Practice Essentials Pediatric supracondylar humerus fractures (SCHFs) are common and significant injuries. A supracondylar fracture is an injury to the humerus, or upper arm bone, at its narrowest point, just above the elbow. The supracondylar humerus fracture is the most common elbow fracture in children, accounting for more than half of all pediatric elbow fractures 39, 40 and 3% to 18% of all fractures seen in children. Flexion-type (rare) - distal fragment is displaced anteriorly 2. A supracondylar fracture occurs through the thin part of the distal humerus above the level of the growth plate.Supracondylar fractures are initially divided into two types, depending on the direction of displacement of the distal fragment: 1. (OBQ06.227) A 5-year-old boy sustained an elbow injury. 1 Supracondylar humerus fractures are widely considered the most common fracture of the elbow in children. Supracondylar fracture of humerus is the commonest injury around elbow in children. Most supracondylar humerus fractures occur in children aged 3 to 6 years, with an average age of 5.5 years for closed injuries. Mastery Trigger: Check the "Mark Skill as Read" under each Step. What is a supracondylar humerus fracture? They are distinctly different from adult SCHFs and … If no deformity exists, the supracondylar fractures are one of the most common traumatic fractures see in children and most commonly occur in children 5-7 years of age from a fall on an outstretched hand. Representative radiographs of the injury are shown in Figures A and B. In a study of 4536 consecutive fractures in adults seen in the Massachusetts General Hospital emergency department, only 0.31% were supracondylar (bicolumn) fractures of the distal humerus. Implant B is better able to control fractures with a small distal segment than Implants A and C. Implant C is better able to control coronal plane fractures than Implants A and B. 7:40. Lateral-entry pin fixation in the management of supracondylar fractures in children. In this type of fracture, the upper arm bone (humerus) breaks slightly above the elbow. Pediatric Supracondylar Humerus Fractures Background This plain language summary provides an overview of the management of pediatric supracondylar humerus (SCH) fractures. (OBQ13.57) What is the advantage of medial and lateral crossed pins compared to two lateral pins in the treatment of supracondylar humerus fractures? » A flexion supracondylar fracture of the humerus is an uncommon fracture in children and accounts for only 1% to 10% of all supracondylar fractures. His hand is pulseless and cold. Usually, supracondylar femoral fractures are due to blunt force from an auto or motorcycle accident, being hit by a car, or a big fall. 1.2. 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.. Tested Concept, (OBQ05.90) A 5-year-old boy sustains a type II (Gartland classification) supracondylar fracture which is treated with cast immobilization. Operative treatment of supracondylar fractures of the humerus in children. Supracondylar humerus fractures are common elbow injuries in children that occur in a vulnerable anatomical location with risk for sequelae ranging from neurovascular compromise to residual deformity. A pediatric SCH fracture is the most common elbow injury in children. Supracondylar fractures of the humerus in children are the result of trauma to the elbow, most often sustained as a result of a fall from a height or during sports and leisure activities. Which of the following treatments of an oligotrophic supracondylar femoral nonunion has been shown to have the best outcome? 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.. These injuries are almost always due to accidental trauma, such as falling from a moderate height (bed/monkey-bars) 4. Open fracture occurs in 5% to 10% of supracondylar fractures; thus, the skin should be meticulously exam-ined for wounds.6 The anterior thigh proximal to the patella is a common location for an open wound caused by penetration of the proximal spike through the quadriceps on axial load. The patient is neurovascularly intact. Pediatrics E PDF: 260 24668354 Hamdy RC, JAAOS 2014. In the distal femur fractures shown in Figure B compared to Figure C this... 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