What is an acceptable reduction for supracondylar humerus fractures in children?

Closed reduction and percutaneous pinning (with two or three lateral pins) are the preferred treatment options for most displaced supracondylar fractures. Medial pin positioning is mandatory in particular fracture patterns and operative techniques are described to avoid nerve injuries.

How do you reduce a supracondylar humerus fracture?

Extension type supracondylar humerus fractures in children commonly displace in two directions: posteromedial and posterolateral. The traditional maneuver to reduce posteromedial displaced fractures utilizes pronation of the forearm, while the maneuver for posterolateral displaced fractures utilizes supination.

What is a supracondylar fracture of femur?

Supracondylar femoral fracture (also called a distal fracture) is when the thigh bone, or femur, is broken at the knee. The knees are the largest weight weight-bearing joint in your body. The distal femur Forms the top part of the knee joint.

How do you reduce flexion type supracondylar fracture?

Treatment of flexion-type supracondylar humeral fractures in children in the prone position could be considered as a treatment option. Putting the elbow firmly on an arm board and rotating the C-arm to obtain proper anteroposterior and lateral radiographs facilitated closed reduction and pinning.

Why supracondylar fractures 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.

Does a supracondylar fracture require surgery?

Surgery is usually not necessary if the fracture is a type 1 or a milder type 2, and if there are no complications. A cast or a splint can be used to immobilize the joint and allow the natural healing process to begin. Sometimes a splint is used first to allow the swelling to go down, followed by a full cast.

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.

Where is a supracondylar 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.

How long does a supracondylar fracture take to heal?

Supracondylar humerus fractures often heal within 4 weeks from start of treatment (either surgery or casting). After your child has his or her cast removed, it may take 4 weeks for the child to be able to move the elbow normally. In rare cases, your child may require physical therapy to help regain strength and motion.