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Overview of the contemporary management of supracondylar humeral fractures in children

PURPOSE: Supracondylar fractures are common injuries accounting for approximately 15% of all fractures in children with a large body of literature on this subject. METHODS:  This article critically appraises the available evidence to provide an overview of the treatment options including the role an...

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Autores principales: Duffy, Sean, Flannery, Oliver, Gelfer, Yael, Monsell, Fergal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Paris 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233294/
https://www.ncbi.nlm.nih.gov/pubmed/33744996
http://dx.doi.org/10.1007/s00590-021-02932-2
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author Duffy, Sean
Flannery, Oliver
Gelfer, Yael
Monsell, Fergal
author_facet Duffy, Sean
Flannery, Oliver
Gelfer, Yael
Monsell, Fergal
author_sort Duffy, Sean
collection PubMed
description PURPOSE: Supracondylar fractures are common injuries accounting for approximately 15% of all fractures in children with a large body of literature on this subject. METHODS:  This article critically appraises the available evidence to provide an overview of the treatment options including the role and timing of surgery, the geometry of wire fixation and the management of nerve and arterial injury. CONCLUSION:  Management decisions are based on a number of considerations particularly fracture stability. Closed reduction and percutaneous K-wire stabilisation are commonly recommended for an unstable displaced fracture. These techniques are however associated with the potential for iatrogenic neurological injury. Vascular injury is also rare but must be recognised and treated promptly to avoid significant permanent morbidity.
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spelling pubmed-82332942021-07-09 Overview of the contemporary management of supracondylar humeral fractures in children Duffy, Sean Flannery, Oliver Gelfer, Yael Monsell, Fergal Eur J Orthop Surg Traumatol General Review PURPOSE: Supracondylar fractures are common injuries accounting for approximately 15% of all fractures in children with a large body of literature on this subject. METHODS:  This article critically appraises the available evidence to provide an overview of the treatment options including the role and timing of surgery, the geometry of wire fixation and the management of nerve and arterial injury. CONCLUSION:  Management decisions are based on a number of considerations particularly fracture stability. Closed reduction and percutaneous K-wire stabilisation are commonly recommended for an unstable displaced fracture. These techniques are however associated with the potential for iatrogenic neurological injury. Vascular injury is also rare but must be recognised and treated promptly to avoid significant permanent morbidity. Springer Paris 2021-03-20 2021 /pmc/articles/PMC8233294/ /pubmed/33744996 http://dx.doi.org/10.1007/s00590-021-02932-2 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle General Review
Duffy, Sean
Flannery, Oliver
Gelfer, Yael
Monsell, Fergal
Overview of the contemporary management of supracondylar humeral fractures in children
title Overview of the contemporary management of supracondylar humeral fractures in children
title_full Overview of the contemporary management of supracondylar humeral fractures in children
title_fullStr Overview of the contemporary management of supracondylar humeral fractures in children
title_full_unstemmed Overview of the contemporary management of supracondylar humeral fractures in children
title_short Overview of the contemporary management of supracondylar humeral fractures in children
title_sort overview of the contemporary management of supracondylar humeral fractures in children
topic General Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8233294/
https://www.ncbi.nlm.nih.gov/pubmed/33744996
http://dx.doi.org/10.1007/s00590-021-02932-2
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