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[Fractures of the distal end of the humerus in children (author's transl)]
Insights
This study evaluated elbow function in 53 children with humerus fractures. Supracondylar fractures healed best with Baumann
Area of Science:
- Pediatric Orthopedics
- Traumatology
- Pediatric Surgery
Background:
- Elbow fractures are common in children, requiring careful management for optimal functional outcomes.
- Assessing functional recovery and radiographic parameters is crucial for evaluating treatment efficacy.
Purpose of the Study:
- To report on the follow-up outcomes of pediatric elbow fractures.
- To evaluate functional aspects and radiographic measurements in children with humerus fractures near the elbow joint.
- To compare treatment methods for different types of elbow fractures.
Main Methods:
- Follow-up examination of 53 children with humerus fractures (31 supracondylar, 11 condylar, 11 lateral epicondyle lesions).
- Assessment focused on functional outcomes and included a novel method for measuring elbow flexion force.
- Radiographic analysis considered Baumann's angle and the dia-epiphyseal angle.
Main Results:
- Supracondylar fractures demonstrated the best results when treated with Baumann's extension method.
- Operative intervention is recommended for all condylar fractures.
- Excellent follow-up results were observed in operatively fixed lateral epicondyle fractures.
Conclusions:
- Baumann's extension method is highly effective for supracondylar humerus fractures in children.
- Surgical treatment yields superior outcomes for pediatric condylar and operatively fixed lateral epicondyle fractures.
- Comprehensive functional and radiographic assessment is vital for managing pediatric elbow fractures.
Abstract:
This study reports on follow-up controls of 53 children with fractures of the humerus near the elbow-joint. 31 children had supracondylar fractures, 11 condylar fractures and 11 other lesions of the lateral epicondylus. The examination was carried out with special attention to functional aspects. A new own method for measuring the flexion force of the elbow is described. Baumanns angle and the dia-epiphyseal angle were taken into consideration when examining the X ray pictures. We obtained the best results when treating supracondylar fractures by Baumann's extension method. All condylar fractures should be operated on. The follow-up results were also excellent in the operatively fixed fractures of the lateral epicondylus.