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Management of Children With Humeral Supracondylar Fractures in the Emergency Department

Management of Children With Humeral Supracondylar Fractures in the Emergency Department Supracondylar fractures are common injuries in children who sustain orthopedic trauma. These fractures represents 60% of pediatric elbow fractures and 11% of all fractures sustained by young children. There is significant morbidity associated with supracondylar fractures in children, including nerve and vascular injuries. Therefore, appropriate and timely management of children presenting with this injury to the emergency department is crucial for a satisfactory outcome. A comprehen- sive physical examination, radiologic assessment and intepretation, and appropriate treatment are imperative in the care of these patients. Key words: cubitus varus/gunstock deformity, extension type fractures, flexion type fractures, fractures, Gartland classification, nerve injuries, pain relieve, supracondylar, Volkmann’s ischaemic contracture UPRACONDYLAR FRACTURES are a children. These include nerve and vascu- common injury in children because of lar injuries, with the median nerve and the Sthe frequent falls sustained during play. brachial artery being the most commonly Children typically use reflexive extension of injured. Other complications include long- an outstretched hand to protect themselves. term deformity, compartment syndrome, and Supracondylar fractures most commonly oc- Volkmann’s ischaemia/contracture requiring cur from 3 to 8 years of age, because the urgent fasciotomy. Appropriate and timely tensile strength of ligaments and the joint cap- management can reduce the http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Advanced Emergency Nursing Journal Wolters Kluwer Health

Management of Children With Humeral Supracondylar Fractures in the Emergency Department

Advanced Emergency Nursing Journal , Volume 32 (4) – Oct 1, 2010

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References (31)

Copyright
© 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins
ISSN
1931-4485
eISSN
1931-4493
DOI
10.1097/TME.0b013e3181fb0805
Publisher site
See Article on Publisher Site

Abstract

Supracondylar fractures are common injuries in children who sustain orthopedic trauma. These fractures represents 60% of pediatric elbow fractures and 11% of all fractures sustained by young children. There is significant morbidity associated with supracondylar fractures in children, including nerve and vascular injuries. Therefore, appropriate and timely management of children presenting with this injury to the emergency department is crucial for a satisfactory outcome. A comprehen- sive physical examination, radiologic assessment and intepretation, and appropriate treatment are imperative in the care of these patients. Key words: cubitus varus/gunstock deformity, extension type fractures, flexion type fractures, fractures, Gartland classification, nerve injuries, pain relieve, supracondylar, Volkmann’s ischaemic contracture UPRACONDYLAR FRACTURES are a children. These include nerve and vascu- common injury in children because of lar injuries, with the median nerve and the Sthe frequent falls sustained during play. brachial artery being the most commonly Children typically use reflexive extension of injured. Other complications include long- an outstretched hand to protect themselves. term deformity, compartment syndrome, and Supracondylar fractures most commonly oc- Volkmann’s ischaemia/contracture requiring cur from 3 to 8 years of age, because the urgent fasciotomy. Appropriate and timely tensile strength of ligaments and the joint cap- management can reduce the

Journal

Advanced Emergency Nursing JournalWolters Kluwer Health

Published: Oct 1, 2010

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