Standard radiography is generally adequate, although an oblique or Simple supracondylar fractures are typically seen in younger children (90%, and are 

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Sep 19, 2017 and suggest ways in which the radiologist can add value to the radiology into supracondylar fractures, single column (condyle) fractures 

Radiology Cases in Pediatric Emergency Medicine Volume 1, Case 12 Alson S. Inaba, MD Therefore, one must suspect a supracondylar fracture with posterior displacement of the distal humeral segment. 3) Upon closer inspection of this true lateral view, a 2021-03-10 Rotation of the distal fracture fragment in the supracondylar fracture is a contributing factor in the development of the cubitus varus deformity. Computed tomography (CT) is superior to conventional radiography in the assessment of the position of fracture fragments and was used to study 20 patients with supracondylar fractures after reduction. Supracondylar fractures are the most common elbow fractures in the pediatric population. The most common mechanism of injury involves a fall on an outstretched hand, resulting in a fracture … Gartland Classification of SupraCondylar Fractures Supracondylar Fracture - General Review. Supracondylar fractures occur most commonly in children and the overall management is influenced by the degree of displacement and intact bone cortex.

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A common complication of supracondylar fracture is an abnormal carrying angle. In full extension and supination, the forearm lies at 165 degrees to the humerus (15 degrees of valgus) to clear the hips. The angle is greater in females. Various angles are measured on AP radiographs to determine the proper alignment of the distal humerus. We present a study of the pattern of elbow fractures in children under 15 years of age, during a 5-year period, with special reference to supracondylar humerus fractures. The incidence was 308/100 000 per year; 58% of the children had a fracture in the supracondylar area of the humerus.

1. Can Fam Physician. 1997 May;43:857, 864-9, 871-2.

The Supracondylar fracture of the humerus is a fracture of the distal end of the On the lateral view, the following radiological parameters are looked for: (a) 

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Journal of Children's  Two-thirds of children's fractures occur in the upper extremity. The humerus is the second most common fracture location after the radius.

Supracondylar fracture radiology

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Supracondylar fracture radiology

Most common pediatric elbow fractures. • Supracondylar (242).

Supracondylar fractures (3) Supracondylar fractures are classified according to Gartland. Gartland Type I fractures are often difficult to see on X-rays since there is only minimal displacement. Most of these fractures consist of greenstick or torus fractures. The only clue to the diagnosis may be a positive fat pad sign.
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Browner & Jupiter: Skeletal Trauma, Saunders, 2003. Lindgren & Svensson: Ortopedi, Liber, 2001. Rüedi & Murphy: AO principles of fracture management, 

X-ray. AP and lateral radiographs of the elbow demonstrate a lucency across the distal humerus consistent with a supracondylar fracture. A line drawn along the anterior border of the humerus does not intersect the middle third of the capitellum, indicating that the fracture is somewhat posteriorly angulated. Unlike the much more common extension supracondylar fracture which are seen in children, flexion fractures are seen in older (adult) patients. Pathology They are usually the result of a fall directly onto a flexed elbow.

Radiology Cases in Pediatric Emergency Medicine Volume 2, Case 18 Loren G The capitellum is clearly posterior to the anterior humeral line. This indicates that there is a supracondylar fracture displacing the distal segment posteriorly or a Salter-Harris type I fracture between the …

Fractures may be impacted, undisplaced, comminuted, and involve the articular surface of the femur. Volume 1, Case 12: Radiographic Examination of the Elbow - The Hourglass Sign. This case discusses the appearance of fat pads, supracondylar fractures, and the importance of obtaining a true lateral film. Volume 1, Case 15: Monteggia's Injury. This case discusses the association of an ulna fracture with a radial head dislocation.

In full extension and supination, the forearm lies at 165 degrees to the humerus (15 degrees of valgus) to clear the hips. The angle is greater in females. Various angles are measured on AP radiographs to determine the proper alignment of the distal humerus. Se hela listan på dontforgetthebubbles.com Avascular necrosis (AVN) is a rare but important complication after supracondylar humerus fractures.