Users' questions

What is the most common deformity seen in supracondylar fracture?

What is the most common deformity seen in supracondylar fracture?

The most common deformity following supracondylar fracture is cubitus varus, the incidence of which according to the literature varies between 9 and 57 per cent (H0yer 1952). Cubitus valgus is less common but more harmful because it carries the risk of progressive palsy of the ulnar nerve (Gay and Love 1947).

Which structure should you monitor when there is a supracondylar fracture?

It can be examined with decreased sensation in dorsal aspect of the hand and weak wrist extensors. Ulnar nerve is prone to injury following flexion type of supracondylar fractures and loss of sensation in its distribution can be examined following weakness of intrinsic muscles of the hand.

Which anatomical landmarks are separated during a supracondylar fracture?

A supracondylar humerus fracture is a fracture of the distal humerus just above the elbow joint. The fracture is usually transverse or oblique and above the medial and lateral condyles and epicondyles. This fracture pattern is relatively rare in adults, but is the most common type of elbow fracture in children.

Is supracondylar fracture an emergency?

Displaced supracondylar fractures have been traditionally treated as surgical emergencies due to the risk of neurovascular complications or the belief that open reduction instead of closed reduction will be needed if surgery is delayed.

How common is a supracondylar fracture?

These fractures are relatively rare in adults. Surgery isn’t always required. Sometimes a hard cast may be enough to promote healing. Complications of supracondylar fracture can include injury to nerves and blood vessels, or crooked healing (malunion).

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.

Do supracondylar fractures require surgery?

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. These fractures are relatively rare in adults. Surgery isn’t always required.

How long does a broken elbow take to heal in a child?

How long will the recovery be? Healing will usually take 3-6 weeks, depending on the type of fracture. Re-breaking the elbow is fairly rare, but your doctor may recommend restrictions on activity until range of motion has returned to normal.

How long does it take for a supracondylar fracture to heal?

Do kids need physio after broken arm?

After a fracture, children normally regain strength by gradually participating in gentle activity and play. Physiotherapy is usually not needed. Your doctor will give you specific advice about when and how your child can return to sport (usually about four to six weeks after the cast is removed).

How old is the fracture of the supracondylar?

(OBQ12.112) A 7-year-old patient presents with a fracture of her left supracondylar humerus and distal radius as evidenced in Figure A. She is neurovascularly intact and the skin shows no evidence of open wounds.

When is a fracture of the phalanx possible?

Fracture-dislocations are possible when the fracture extends to the articular surface of the phalanx. The plain radiographic investigation of the fingers involves three projections (AP oblique and lateral).

How is a supracondylar fracture of the humerus treated?

Outlook for supracondylar fractures. Supracondylar fracture of the humerus is a common childhood injury to the elbow. If treated quickly, either by immobilizing with a cast or by surgery, the prospects for full recovery are very good.

How is a supracondylar fracture treated in a cast?

Her past medical history is significant for a supracondylar fracture treated in a cast when as a younger child. She has no pain with motion and has 0 to 120 degrees range of motion. She does not have functional limitations but her parents would like to improve the appearance of her elbow.

What causes an extension of the supracondylar humerus?

Extension type of supracondylar humerus fractures typically result from a fall on to an outstretched hand, usually leading to a forced hyperextension of the elbow. The olecranon acts as a fulcrum which focuses the stress on distal humerus (supracondylar area), predisposing the distal humerus to fracture.

What makes the supracondylar area prone to fractures?

The olecranon acts as a fulcrum which focuses the stress on distal humerus (supracondylar area), predisposing the distal humerus to fracture. The supracondylar area undergoes remodeling at the age of 6 to 7, making this area thin and prone to fractures.

Can a mallet be used for a distal phalanx fracture?

A mallet splint is often used in these cases. Fractures at the base of the distal phalanx are often unstable due to the fact these are the insertions sites for both the flexor and extensor tendon, however splinting of these fractures, granted they are closed has favourable outcomes 3 .

Do You need X-ray for supracondylar humerus fracture?

X-ray of the forearm (AP and lateral) should also be obtained for because of the common association of supracondylar fractures with the fractures of the forearm. Ideally, splintage should be used to immobilise the elbow at 20 to 30 degrees flexion in order to prevent further injury of the blood vessels and nerves while doing X-rays.