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DISTAL HUMERAL FRACTURE: AN EPIDEMIOLOGICAL ANALYSIS OF ORTHOPEDIC PATIENTS FOR CHILDREN

José Carlos Figueiredo Fernandes1, Taiuã Vardasca Milan2, Helio Augusto Martins Ferreira Ribeiro3

  • 1Universidade Federal de São Paulo, São Paulo, SP, Brazil.

Acta Ortopedica Brasileira
|December 17, 2019
PubMed

Insights

This study analyzed orthopedic distal humerus fractures in 665 children, finding male predominance and falls as the main trauma cause. Most fractures were Gartland type 1, treated conservatively with low complication rates.

Area of Science:

  • Orthopedic Surgery
  • Pediatric Traumatology
  • Epidemiology

Background:

  • Distal humerus fractures are common pediatric orthopedic injuries.
  • Understanding epidemiological profiles aids in targeted prevention and treatment strategies.

Purpose of the Study:

  • To analyze the epidemiological profiles of children with orthopedic distal humerus fractures.
  • To identify common trauma mechanisms, fracture types, and treatment outcomes in pediatric patients.

Main Methods:

  • Retrospective analytical descriptive study.
  • Utilized medical records of 665 pediatric patients treated between June 2012 and December 2016.
  • Data collected included patient demographics, trauma mechanisms, fracture classification, injury type, and management outcomes.

Main Results:

  • Predominance of male patients (64.2%) with a mean age of 7 years; the 6-10 year age group was most affected (48%).
  • Falls from height (59.7%) were the primary trauma mechanism, with Gartland type 1 fractures being most common (57.1%).
  • Conservative management was prevalent (64.7%), with a low incidence of vascular (0.3%) and neurological (4.4%) lesions, and minimal complications (e.g., reduction loss 1.7%, infection 1.1%).

Conclusions:

  • The epidemiological characteristics of pediatric distal humerus fractures in this cohort align with existing literature.
  • Findings underscore the importance of conservative management for suitable cases and highlight the generally favorable outcomes in pediatric populations.
  • Further research could explore long-term functional outcomes and specific risk factors.
Abstract

Keywords:
Elbow fractureHumeral fracturesPediatricSupracondylar

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