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Treatment of Pediatric Open Supracondylar Humerus Fractures: Case Report
Tabet A Al-Sadek1, Desislav Niklev2, Ahmed Al-Sadek3
1Department of Orthopaedics and Traumatology, Belhoul European Hospital, Dubai, United Arab Emirates.
Insights
Open supracondylar humerus fractures in children are rare. This case study shows successful management of a severe open fracture using an external wrist fixator, achieving good outcomes.
Area of Science:
- Orthopedic surgery
- Pediatric trauma
Background:
- Open supracondylar humerus fractures are uncommon in pediatric patients.
- Standardized treatment protocols for these injuries are lacking.
Observation:
- A 7-year-old boy presented with a severe open supracondylar humerus fracture after a fall.
- The injury involved significant swelling, restricted movement, a large contaminated wound, and suspected nerve damage.
Findings:
- The fracture was successfully managed using an external wrist fixator.
- A good clinical outcome was achieved with no complications after 6 months.
Implications:
- External wrist fixation may be a viable treatment option for complex open pediatric humerus fractures.
- This approach can lead to favorable results in challenging pediatric trauma cases.
Background:
Open supracondylar fractures of the humerus are rare in children, and the treatment strategy for these fractures is yet to be standardised.
Aim:
We present the case of a 7-year-old boy with open supracondylar humerus fracture that was managed with an external wrist fixator.
Case Presentation:
A 7-year-boy was brought to our department with pain in the right arm after a fall from a height about 3 hours before admission. On examination, the elbow was found to be markedly swollen with restriction of movement of the right arm. A 4-cm-wide wound was also observed on the flexural aspect of the elbow, indicating severe contamination of the fractured site. Neurological examination revealed restriction of hand movement and decreased sensations, which suggested the possibility of nerve injuries.
Conclusion:
A good clinical outcome was achieved in this case, without the development of any complications over a 6-month follow-up period.
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