What types of fracture is a supracondylar?
Table of Contents
What types of fracture is a supracondylar?
A supracondylar fracture is a type of elbow fracture common in young children. The location and cause of the fracture determine the type. A supracondylar fracture is a fracture in the upper arm just above the elbow joint. It is common but it can become dangerous if not treated properly.
What is a Type 2 supracondylar fracture?
Type 2 – angulation present but a posterior bony hinge remains intact. Type 3 – complete displacement with no bony hinge. Periosteum is usually intact. Type 4 – a controversial category describing a fracture that is unstable in flexion and extension, implying a lack of intact periosteum.
What is a Type 3 supracondylar humerus fracture?
Gartland originally described a classification for extension-type supracondylar humerus fractures, dividing them into three types: type I is non-displaced, type II is displaced with an intact posterior cortex, and type III is displaced without cortical contact [2, 5].
Why supracondylar fracture are common in children?
Overview. A supracondylar fracture is an injury to the humerus, or upper arm bone, at its narrowest point, just above the elbow. Supracondylar fractures are the most common type of upper arm injury in children. They are frequently caused by a fall on an outstretched elbow or a direct blow to the elbow.
How many types of supracondylar fractures are there?
Supracondylar fractures are initially divided into two types, depending on the direction of displacement of the distal fragment: Flexion-type (rare) – distal fragment is displaced anteriorly. Extension-type (98%) – distal fragment is displaced posteriorly.
What type of splint is used for supracondylar fracture?
Type I supracondylar fractures are stable fractures to the elbow that are treated conservatively across the world and typically heal very well without complications. There are several treatment options, including an above elbow cast or long arm splint.
What is a simple supracondylar humerus fracture?
Your child’s humerus is fractured (broken) near the elbow area, just above the joint. This is called a supracondylar (supra CON dy ler) humerus fracture. It is the most common type of elbow fracture and happens most often to children younger than 8 years old.
Which nerve is injury in supracondylar fracture?
The most commonly injured nerve was the ulnar nerve (43.4%), followed by the median (36.7%) and radial nerves (19.9%).
What is extension type fracture?
Extension type supracondylar fractures typically occur as a result of a fall on a hyper-extended elbow. When this occurs, the olecranon acts as a fulcrum after engaging in the olecranon fossa. The humerus fractures anteriorly initially and then posteriorly.
Which nerve is injured in a supracondylar fracture?
Anterior interosseous nerve neurapraxia (a branch of the median nerve): Most common nerve injury from a supracondylar fracture, especially if there is posterolateral displacement of the fracture.
What is Pott’s fracture?
A Pott’s fracture is a fracture affecting one or both of the malleoli. During activities such as landing from a jump (volleyball, basketball) or when rolling an ankle, a certain amount of stress is placed on the tibia and fibula and the ankle joint.
What is the most common complication of a supracondylar fracture of the humerus?
Pin-site irritation and superficial infections are the most common complications seen. Cubitus varus remains another common complication, even with the use of closed reduction and pinning for management of most displaced fractures. Neurapraxias are seen in almost 10% of patients, with most resolving spontaneously.
