Related Experiment Video

Updated: Dec 18, 2025

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
04:19

Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device

Published on: November 8, 2024

973

Current Management of Paediatric Supracondylar Fractures of the Humerus

Pritom M Shenoy1, Amirul Islam2, Rahul Puri3

  • 1Trauma and Orthopaedics, Wrexham Maelor Hospital, Wrexham, GBR.

Cureus
|June 19, 2020
PubMed

Insights

Pediatric supracondylar humerus fractures require careful neuromuscular assessment. This study presents an algorithm for managing displaced fractures with absent pulses, focusing on extension-type injuries.

Area of Science:

  • Pediatric Orthopedics
  • Pediatric Trauma Surgery
  • Musculoskeletal Imaging

Background:

  • Supracondylar humerus fractures are common in children.
  • Displaced fractures (Types 2-4) typically require surgical intervention.
  • Accurate neuromuscular assessment is crucial for timely management and medicolegal protection.

Purpose of the Study:

  • To present an evidence-based algorithm for managing pediatric supracondylar humerus fractures with absent pulses.
  • To review current evidence on pin fixation techniques for these fractures.
  • To provide guidance for surgical management, particularly for extension-type fractures.

Main Methods:

  • Review of current literature on pin fixation (diameter, number, configuration).
  • Development of a management algorithm for displaced supracondylar fractures with compromised circulation.
  • Focus on extension-type fractures, the most common variant.

Main Results:

  • The 'Rock, paper, scissor, OK' technique is a simple method for neuromuscular assessment in children.
  • Evidence supports specific pin configurations for stable fixation.
  • The proposed algorithm aids in decision-making for urgent surgical cases.

Conclusions:

  • A structured approach, including reliable neuromuscular assessment and evidence-based surgical techniques, is vital for managing pediatric supracondylar humerus fractures.
  • The algorithm provides a clear pathway for treating complex cases, especially those with vascular compromise.
  • Optimizing surgical fixation and post-operative care improves outcomes.

Keywords:
cubitus varuselbow injuryelbow traumafracture in a childhumeral fracturesupracondylar humeral fracture

More Related Videos

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel08:27

Novel Triple-Loop Technique for Suturing TFCC Injuries without Transosseous Tunnel

Published on: May 23, 2025

629
Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture05:42

Orthopedic Robot-Assisted Femoral Neck System in the Treatment of Femoral Neck Fracture

Published on: March 3, 2023

3.0K

Related Concept Videos

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
4.6K
Bones of the Upper Limb: Humerus01:19

Bones of the Upper Limb: Humerus

The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
6.6K
Bones of the Upper Limb: Ulna01:15

Bones of the Upper Limb: Ulna

The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
3.9K
Flail Chest-II01:26

Flail Chest-II

Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
430