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Supracondylar humerus

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22 papers 25 to 100 followers
By David Bennett Pediatric Orthopaedic Surgeon in the United States
Nicholas O Schroeder, Mark A Seeley, Arun Hariharan, Frances A Farley, Michelle S Caird, Ying Li
BACKGROUND: Pediatric supracondylar humerus fractures are common injuries that are often treated surgically with closed reduction and percutaneous pinning. Although surgical-site infections are rare, postoperative antibiotics are frequently administered without evidence or guidelines for their use. With the increasing prevalence of antibiotic-resistant organisms and heightened focus on health care costs, appropriate and evidence-based use of antibiotics is needed. We hypothesized that postoperative antibiotic administration would not decrease the rate of surgical-site infection...
September 2017: Journal of Pediatric Orthopedics
Y Vincelet, P Journeau, D Popkov, T Haumont, P Lascombes
INTRODUCTION: Various studies have found that 6.6 to 31% of supracondylar elbow fractures in children have nerve-related complications. One-third of these are cases of anterior interosseous nerve (AIN) palsy that usually result in a deficit of active thumb and index flexion. The goal of this cadaver study was to describe the course of the AIN to achieve a better understanding of how it may get injured. MATERIALS AND METHODS: On 35 cadaver specimens, the median nerve and its collateral branches destined to muscles were dissected at the elbow and forearm levels...
September 2013: Orthopaedics & Traumatology, Surgery & Research: OTSR
Michelangelo Scaglione, Daniele Giovannelli, Luca Fabbri, Dario Dell'omo, Andrea Goffi, Giulio Guido
Supracondylar fractures of the humerus in children are important for frequency and type of associated serious complications. The management of this kind of fractures is still controversial (Skaggs et al. in J Bone Joint Surg Am 86:702-707, 2004; Kalllio et al. in J Pediatr Orthop 12:11-15, 1992). We are going to present our experience in the treatment of supracondylar humeral fracture in children. In the Orthopedic Department of Pisa, we treated 150 cases from 1989 to 2006. We are used to perform, emergency or within 12 h, reduction and two lateral-entry percutaneous pins fixation...
August 2012: Musculoskeletal Surgery
Murat Aksakal, Cenk Ermutlu, Bartu Sarısözen, Burak Akesen
OBJECTIVE: The aim of this study was to evaluate neurovascular compromise in childhood Gartland Type 3 supracondylar humerus fractures (SHFs), identify the factors correlated with increased need of open reduction and compare the clinical outcome of anterior open reduction with that of closed reduction. METHODS: The study included 65 patients (46 male, 19 female; mean age: 7.03 years, range: 1 to 14 years) treated surgically for SCH fracture between January 2002 and June 2008...
2013: Acta Orthopaedica et Traumatologica Turcica
Thomas J Kim, Paul D Sponseller
No abstract text is available yet for this article.
November 2014: Journal of Hand Surgery
Min Jung Park, Christine A Ho, A Noelle Larson
No abstract text is available yet for this article.
October 2015: Journal of the American Academy of Orthopaedic Surgeons
Sven Young, Jonas M Fevang, Gunnar Gullaksen, Per T Nilsen, Lars B Engesæter
PURPOSE: At Haukeland University Hospital (HUH), we used overhead skeletal traction for displaced supracondylar humerus fractures (SCHF) in children until closed reduction and crossed wire fixation was introduced in the early 1990s. Though there are obvious and well-documented benefits of wire fixation, the aim of this study was to document and compare the results and complication rates for both methods. PATIENTS AND METHODS: One hundred and thirty-nine patients treated for SCHF between 1988 and 1998 were available for follow-up...
October 2010: Journal of Children's Orthopaedics
Matthew E Oetgen, Gudrun E Mirick, Lara Atwater, John F Lovejoy
UNLABELLED: Supracondylar humerus fractures are common pediatric injuries. Little is known about the risk factors for repeat operative procedures. A retrospective chart review of 709 patients treated for a displaced supracondylar humerus fracture was performed to identify risk factors for return to the operating room during the initial post-operative period. Deviations of routine fracture care were recorded and complication rates were compared between Gartland type 2 and 3 fractures using logistic regression...
2015: Open Orthopaedics Journal
Xiaolin Wang, Chao Feng, ShiQi Wan, Zhen Bian, Ji Zhang, Meng Song, Jingfan Shao, Xiaojin Yang
Despite hundreds of studies of pinning configurations for transverse supracondylar humerus fractures, very few studies have investigated the optimal pin configurations in the treatment of supracondylar humerus fractures with coronal medial obliquity. The aim of this study was to develop a model of supracondylar humerus fractures with coronal medial obliquity and compare the stability of three various pin configurations to provide an acceptable pin placement. Oblique cuts were made in synthetic humeri at the level of the coronoid and olecranon fossae to simulate a humeral supracondylar fracture with coronal medial obliquity...
November 2012: Journal of Pediatric Orthopedics. Part B
Craig T Carter, Styles L Bertrand, David M Cearley
BACKGROUND: Supracondylar humerus fractures are common injuries in the pediatric population. The most severe, type III injuries, have seen the most debate on treatment regimens. Traditionally, these fractures were treated as surgical emergencies, most often fixed with percutaneous pinning in a cross-pin configuration. The recent literature shows that delayed fixation is comparable to emergent fixation as long as there is no vascular compromise with the injury. METHODS: A short survey was sent to Pediatric Orthopaedic Society of North America (POSNA) members using an online survey and questionnaire service...
October 2013: Journal of Pediatric Orthopedics
Hilton Phillip Gottschalk, Daljeet Sagoo, Diana Glaser, Josh Doan, Eric W Edmonds, John Schlechter
BACKGROUND: Several studies have examined the biomechanical stability of smooth wire fixation constructs used to stabilize pediatric supracondylar humerus fractures. An analysis of varying pin size, number, and lateral starting points has not been performed previously. METHODS: Twenty synthetic humeri were sectioned in the midolecranon fossa to simulate a supracondylar humerus fracture. Specimens were all anatomically reduced and pinned with a lateral-entry configuration...
July 2012: Journal of Pediatric Orthopedics
Omer Or, Yoram Weil, Naum Simanovsky, Avraham Panski, Vladimir Goldman, Ron Lamdan
BACKGROUND: Supracondylar humerus fractures (SCHF) are the most common elbow fractures requiring surgical treatment in the pediatric age group. Most fractures are reduced and stabilised adequately. Yet, post-surgical malunion may occur. The purpose of this study is to evaluate our results of early revision surgery in 21 surgically treated pediatric SCHF with immediate postoperative loss of alignment and compare them with previous reports of late corrective osteotomies. METHODS: Twenty-one pediatric SCHF patients that underwent revision surgery for malalignment within 3 weeks of the initial reduction and fixation consisted the study group...
August 2015: Injury
Sumeet Garg, Amanda Weller, A Noelle Larson, Nicholas D Fletcher, Michael Kwon, Jonathan Schiller, Richard Browne, Lawson Copley, Christine Ho
BACKGROUND: The safety of delayed surgical treatment of severe supracondylar elbow fractures in children remains debated. No large studies have evaluated complications of injury and surgery evaluating only type 3 fractures. Our aim was to review the results of our experience treating children with severe supracondylar elbow fractures at various time points after injury. METHODS: All children treated operatively for supracondylar humerus fractures from 2004 to 2007 at a single pediatric trauma center were identified...
January 2014: Journal of Pediatric Orthopedics
Hannah N Ladenhauf, Matthias Schaffert, Jan Bauer
PURPOSE OF REVIEW: Supracondylar humerus fractures are the most common elbow fractures in children. Choice of treatment may be guided by the Gartland classification. Recent studies recommend conservative management for non or minimally displaced fractures, whereas there seems to be a trend towards surgical intervention for all displaced fractures. The purpose of this review is to discuss the various treatment options for displaced supracondylar humerus fractures. RECENT FINDINGS: Closed reduction and percutaneous pinning are the preferred treatment options for most displaced pediatric supracondylar fractures of the humerus...
February 2014: Current Opinion in Pediatrics
Andrew T Pennock, Michael Charles, Molly Moor, Tracey P Bastrom, Peter O Newton
BACKGROUND: Recent biomechanical studies have evaluated the stability of various pin constructs for supracondylar humerus fractures, but limited data exist evaluating these constructs with clinical outcomes. The goal of this study was to review the surgical management of Gartland type II and III supracondylar fractures to see whether certain pin configurations increase the likelihood of loss of reduction (LOR). METHODS: A total of 192 patients treated with a displaced supracondylar fracture were evaluated...
October 2014: Journal of Pediatric Orthopedics
Elizabeth R A Joiner, David L Skaggs, Alexandre Arkader, Lindsay M Andras, Nina R Lightdale-Miric, J Lee Pace, Deirdre D Ryan
BACKGROUND: Recent studies report the rate of iatrogenic nerve injury in operatively treated supracondylar humerus (SCH) fractures is 3% to 4%. A reliable neurological examination can be difficult to obtain in a young child in pain. We hypothesized that nerve injuries may be missed preoperatively, later noted postoperatively in a more compliant patient, and then falsely considered an iatrogenic injury. METHODS: A prospective study was conducted on patients who presented between April 2011 and April 2013 with an extension-type SCH fracture that was managed surgically...
June 2014: Journal of Pediatric Orthopedics
John A Schlechter, Michael Dempewolf
PURPOSE: To determine the safety, utility, and efficacy of pin removal prior to radiographs during the postoperative care of surgically treated displaced pediatric supracondylar humerus fractures. METHODS: Retrospective review of 532 children with supracondylar humerus fractures treated with closed reduction and pinning from 2007 to 2012. Group 1: children who had their splint/cast removed and radiographs prior to pin removal. Group 2: children with radiographs taken after removal...
August 2015: Journal of Children's Orthopaedics
Michael A Flierl, Patrick M Carry, Frank Scott, Gaia Georgopoulos, Nancy Hadley-Miller
The goal of this study was to identify supracondylar fracture patterns that were predictive of adverse events and poor outcomes. The study consisted of a retrospective review of patients admitted for surgical treatment of a supracondylar humerus fracture between June 2008 and August 2010. Preoperative radiographs were assessed based on appearance (simple vs oblique vs comminuted), coronal plane displacement (angulated, posterior, posteromedial vs posterolateral), and rotation (rotation vs no rotation). Logistic regression models were used to examine the relationship between fracture pattern and clinical outcome parameters in 373 patients who were followed for 4 weeks or more postoperatively...
August 2015: Orthopedics
Amanda Weller, Sumeet Garg, A Noelle Larson, Nicholas D Fletcher, Jonathan R Schiller, Michael Kwon, Lawson A B Copley, Richard Browne, Christine A Ho
BACKGROUND: Radically different conclusions exist in the pediatric orthopaedic and vascular literature regarding the management of patients with a pink hand but no palpable radial pulse in association with a supracondylar humeral fracture. METHODS: One thousand two hundred and ninety-seven consecutive, operatively treated supracondylar humeral fractures in patients presenting to a level-I pediatric trauma center from January 2003 through December 2007 were studied retrospectively...
November 6, 2013: Journal of Bone and Joint Surgery. American Volume
Kody K Barrett, David L Skaggs, Jeffrey R Sawyer, Lindsay Andras, Alice Moisan, Christine Goodbody, John M Flynn
BACKGROUND: It is unclear if pediatric patients with a supracondylar humeral fracture and isolated anterior interossous nerve injury require urgent treatment. METHODS: A retrospective, multicenter study of 4409 patients with operatively treated supracondylar humeral fractures was conducted. Exclusion criteria were additional nerve injuries other than the anterior interosseous nerve, any sensory changes, pulselessness, ipsilateral forearm fractures, open fractures, less than two months of follow-up, or pathological fractures...
November 5, 2014: Journal of Bone and Joint Surgery. American Volume
2014-11-15 23:39:49
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