Supracondylar Fracture of the Humerus
Management and Treatment Options
Supracondylar humeral fractures are common in children, requiring precise diagnosis and treatment for optimal recovery.
Supracondylar Fracture of the Humerus: Management and Treatment Options
Supracondylar fractures of the humerus are the most common elbow fractures in children and can occur due to falls onto an outstretched hand.
Understanding Supracondylar Fractures
The distal humerus is vulnerable to fractures due to the weak metaphyseal bone. These fractures are categorized based on the Gartland classification:
- Type I - Non-displaced fracture
- Type II - Displaced fracture with intact posterior cortex
- Type III - Completely displaced fracture
Clinical Presentation and Diagnosis
Patients typically present with pain, swelling, and decreased range of motion in the elbow. Diagnosis is confirmed with X-rays, which help determine fracture displacement and severity.
Treatment Approaches
Non-Surgical Management
Minimally displaced fractures (Type I) are managed with immobilization using a splint or cast for 3-4 weeks.
Surgical Management
Types II and III fractures usually require closed reduction and percutaneous pinning (CRPP) to prevent malunion or deformities.
Complications and Recovery
Potential complications include cubitus varus, neurovascular injuries, and stiffness. Physiotherapy is essential to restore elbow function post-treatment.
Conclusion
Early diagnosis and appropriate management are crucial for optimal functional recovery in supracondylar fractures.