Logo image
Back
Management of Supracondylar Humerus Fractures in Children: Current Concepts
Journal article   Peer reviewed

Management of Supracondylar Humerus Fractures in Children: Current Concepts

Joshua M. Abzug and Martin J. Herman
Journal of the American Academy of Orthopaedic Surgeons, v 20(2)
01 Feb 2012
DOI: https://doi.org/10.5435/JAAOS-20-02-069
PMID: 22302444
Featured in Collection :   UN Sustainable Development Goals @ Drexel

Abstract

Life Sciences & Biomedicine Orthopedics Science & Technology Surgery
Supracondylar humerus fractures are the most common elbow fractures in the pediatric population. Type I fractures are managed nonsurgically, but most displaced injuries (types II, III, and IV) require surgical intervention. Closed reduction and percutaneous pinning remains the mainstay of surgical management. Numerous studies have reported recent alterations in important aspects of managing these fractures. Currently, many surgeons wait until 12 to 18 hours after injury to perform surgery provided the child's neurovascular and soft-tissue statuses permit. Increasingly, type II fractures are managed surgically; cast management is reserved for fractures with extension displacement only. Two to three lateral pins are adequate for stabilizing most fractures. Evolving management concepts include those regarding pin placement, the problems of a pulseless hand, compartment syndrome, and posterolateral rotatory instability.

Metrics

11 Record Views
161 citations in Web of Science
165 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#5 Gender Equality

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Web of Science research areas
Orthopedics
Surgery
Logo image