Current Management of Paediatric Supracondylar Fractures of the Humerus

Supracondylar fractures of the humerus in children are common and can be distressing injuries to the child, the parents and to the surgical team. Type 1 fractures are managed non-operatively, however displaced fractures (Types 2, 3 and 4) are usually managed surgically. Accurate and repetitive neuromuscular assessment is critical not just for medicolegal reasons but also to expedite management with different specialists if needed. The Rock, paper, scissor, OK technique is simple which is easily understood by most children. We discuss the current evidence with regards to pin diameter, number, pin configuration along with a simple algorithm on how to manage a child with a displaced supracondylar fracture with no pulse focussing mainly on the extension-type fracture.