Torres ZA, Benítez GR, Meza RG, Patrón GJ

Language: Spanish
References: 18
Page: 390-393
PDF size: 34.81 Kb.

ABSTRACT

A series of 121 pediatric patients with displaced Gartland type III supracondylar fractures recorded from January 1st to May 31st, 1996, selecting 46 assorted patients in whom a clinical-neurological evaluation and electromyography of the affected side was performed 21 days after surgery. There were 30 patients aged 6.4 ± 2.6 years old. There were 17 patients with affection of only one nerve (11 ulnar, 4 radial and 2 of the median nerve). Twelve patients had injured nerves; ulnar nerve was associated to median nerve injury in 10 cases and with radial in 2. Only one patient had affection of 3 nerves; 28 patients were treated by closed reduction and 18 with open reduction. Twenty-six had posteromedial displacement.
It is concluded that only 21% of the patients had neuroclinical symptoms and 65.2% of the electromyography reports were neuropraxia and neurotmesis. We found higher incidence of neural complications compared to other papers.

REFERENCES

1. Baskota A, Robert C: Traumatic laceration of the radial nerve following supracondylar fractures of the elbow. Clin Orthop 1984; 184: 150-2.

2. Clemant DA, Phil F: Assessment of a treatment plan for managing acute vascular complications associated with supracondylar fractures of the humerus in children. J Pediatr Orthop 1990; 10: 97-100.

3. David D, Bruce Y: Supracondylar fracture of the humerus in children. Clin Orthop 1987; 219: 174-84.

4. D’Ambrosia R: Supracondylar fractures of humerus. JBJS 1955; 37(A): 487-92.

5. Galmaith K, Mc Collough C: Acute nerve injury as a complications of closed fractures or dislocations of the elbow. Injury 1979; 11: 159-64.

6. Jows E, Louis D: Median nerve injuries associated with supracondylar fractures of the humerus in children. Clin Orthop 1980; 150: 181-6.

7. Kathryn E, Neil E: Incidence of anterior interosseus nerve palsy in supracondylar humerus fractures in children. J Pediatr Orthop 1993; 13: 502-5.

8. Lal G, Bhan S: Delayed open reduction for supracondylar fractures of the humerus. Internat Orthop 1991; 15: 189-91.

9. Lipscom BP, Burlesun R: Vascular and neural complications in supracondylar fractures of the humerus in children. JBJS 1955; 37A: 487-92.

10. Mac Graw J, Akbarnia BA: Neurological complication resolution how supracondylar fractures of the humerus in children. J Pediatr Orthop 1986; 6: 47-50.

11. Minkowits B, Michel T: Supracondylar humerus fracture. Clin Orthop North 1994; 35: 581-93.

12. Pravot P, Lascombes J: Fractures supracondilines de l’humerus de l’elefant treatment par enbrochaje desendant. Archive de Chirugie Ortopedique 1991; 76: 191-7.

13. Randall W, Osterman A: Neural injuries associated with supracondylar fractures of the humerus in children. JBJS 1990; 72-A(8): 1210-4.

14. Ronald O, Royce D: Neurological complications after K-with fixation of supracondylar humerus fractures in children. J Pediatr Orthop 1991; 2: 191-93.

15. Sefton D, Khouri N: Paralyse de nerv radial. Of fractures supracondyliens del humerus chezlefant. Rev de Chirugie Orthopedique 1992; 78: 28-33.

16. Thomas AP: Entrapment of the proximal fragments of supracondylar fractures. JBJS Br 1991; 72-B(2); 321.

17. Urizar CA, Zamora J: Resultados del método de fijación en fracturas supracondíleas humerales en niños. Rev Mex Orthop Traum 1991; 8(3): 278-81.

18. Williamson D, Cole G: Flexion supracondylar fractures of humerus in children: Treatment by minifixation and extension cast. Injury British J Accid Surg 1991; 22(8): 451-5.