Details
Category: Volume 06 Issue 02 February 2018
Hits: 1078

Title: A Study on Complications of Supracondylar Fractures of Humerus in Children

Authors: Dr Padman Kumar Patel, Dr H.S Varma, Dr Amit Rahangdale

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i2.195

Abstract

Background: Supracondylar fracture of the humerus is a common elbow injury in children. The main objective of this study was to determine the epidemiological characteristics and complications supracondylar fractures of the humerus in children.

Material and Methods: The study include fifty children from three to fourteen years of age having supracondylar fracture of humerus. Results were assessed by measuring carrying angle and range of movements at elbow and complications (if any) were recorded.

Results: Displaced fractures (Gartland type III) accounted for the majority of these fractures (58%) while rest 42 % (Gartland type I & II). 4%  (2 of 50) patients sustained vascular injuries, compartment syndrome in 6% (3 of 50) of the patient while 2 patients had nerve lesions.  Long term complications included: - cubitus varus, cubitus valgus, elbow stiffness and myositis ossificans.

Keywords: Supracondylar humerus fracture, K wire , complications.

References

  1. American Academy of Orthopaedic Surgeons. Guideline on the treatment [14] of pediatric supracondylar humerus fractures 2011. http://www.aaos.org/Research/guidelines/ Supracondylar Fracture/SupracondylarFracture_Guideline.asp. Retrieved 19 December 2011.
  2. Arino VC, Lluch EE, Ramirez AM et al: Percutaneous fixation of supracondylar fractures of the humerus in children. Analysis of fifty-two cases followed for five to fifteen years. J Bone Joint Surg 60A: 657-61,1978.
  3. Barton KL, Kaminsky CK, Green DW, Shean CJ, Kautz SM, Skaggs DL. Reliability [17] of a modified Gartland classification of supracondylar humerus fractures. Journal of Pediatric Orthopaedics. 2001;21(1):27-30.
  4. Blakey CM, Biant LC, Birch R. Ischaemia and the pink, pulseless hand complicating supracondylar fractures of the humerus in childhood: long-term follow up. J Bone Joint Surg Br. 2009;91:1487.
  5. Brown IC, Zinar DM. Traumatic and iatrogenic neurological complications after supracondylar humerus fractures in children. Journal of Pediatric Orthopaedics. 1995;15(4):440-43.
  6. Danielson L, Petterson H: Open reduction and pin fixation of severely displaced supracondylar fractures of the humerus in children. Acta Orthop Scap. 51:249- 55, 1980.
  7. Garg S, Weller A, Larson AN, Fletcher ND, Kwon M, Schiller J, et al. Clinical characteristics of severe supracondylar humerus fractures in children. Journal of Pediatric Orthopaedics. 2014; 34(1):34-39.
  8. Griffin KJ, Walsh SR, Markar S, Tang TY, Boyle JR, Hayes PD. The pink pulse less hand: a review of the literature regarding management of vascular complications of supracondylar humeral fractures in child-ren. European Journal of Vascular and Endovascular Surgery. 2008; 36(6):697-702.
  9. Iyengar SR, Hiffinger SA, Townsend DR: Early versus delayed reduction and pinning of type III displaced supracondylar fractures of the humerus in children: A comparative study. J Orthop Trauma. 13 (1): 51-5, Jan 1999.
  10. Kelsch G, Savvidis E, Jenal G, Parsch K: Concomitant vascular complications in supracondylar humeral fractures in children. Unfallchirug. 102 (9): 708-15, Sep 1999.
  1. Krezien J, Richter H, Gussmann A, Schildnecht A: Compartment syndrome and volkmann contracture- can they be prevented in supracondylar humerus fracture. Chirug, 69(11):1252-6, Nov 1998.
  2. Labelle H, Bunnell WP, Duhaime M and Poitras B: Cubitus varus deformity following supracondylar fractures of the humerus in children. J Pediatric Orthop. 2:539,1982.
  3. Mahan ST, May CD, Kocher MS. Operative management of displaced flexion [4] supracondylar humerus fractures in children. Journal of Pediatric Orthopaedics. 2007; 27(5):551-56.
  4. Millis MB, Singer IJ, Hall JE: Supracondylar fracture of the humerous in children: further experience with a study in orthopedic decision-making. Clin Orthop 188:90- 97, 1984.
  5. Palmer EE, Niemann KMW, Vesley D,Armstrong JH: Supracondylar fractures of the humerus in children. J Bone Joint Surg [Am]. 60A: 653-6, 1978.

Corresponding Author

Dr Amit Rahangdale

Room No -33 Boys Hostel No -2, NSCB Medical College Campus,

Jabalpur (M.P.) 482003 India

Contact No – 8358801475, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.