Supracondylar fractures of humerus in children – overview

Czech version

Authors: Vlach Martin ^1,2; Havlas Vojtěch ¹; Kautzner Jakub ¹
Authors‘ workplace: Klinika dětské a dospělé ortopedie a traumatologie, 2. lékařská fakulta a FN Motol ¹; Ústav chirurgie ruky a plastické chirurgie, p. o., Vysoké nad Jizerou ²
Published in: Čes-slov Pediat 2022; 77 (6): 362-365.
Category:
doi: https://doi.org/10.55095/CSPediatrie2022/064

Overview

Supracondylar humeral fractures are one of the most common fractures of childhood in the upper limb. Due to the specific anatomy of the distal humerus and the intimate relationship between nerves and blood vessels, this type of fracture has a higher risk of serious complications. The basis of successful treatment is knowledge of the anatomy and pathophysiology of this injury. Clinical and radiological diagnostics have been well developed over the years. However, opinions on therapeutic approach differ with regard to the experience of individual centres. In particular, the methods of surgical reduction and fixation differ according to the type of fracture. A key aspect of treatment is the precise reduction of rotational dislocations to prevent growth disturbance and elbow function impairment. Subsequent treatment of residual deformities is very complicated, has its own rules and indications, and therefore belongs to centres with extensive experience in this field. The presented text is an overview of knowledge in the field of treatment of supracondylar humeral fractures in children.

Keywords:

Humerus – Elbow – fracture – childhood

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