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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2018, Number 2

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Rev Esp Med Quir 2018; 23 (2)

Pediatric traumatic elbow frequency in Hospital Regional General Ignacio Zaragoza

Rodríguez-Martínez JJ, Mora-Ríos FG, Mejía-Rohenes LC

Language: Spanish
References: 24
Page: 87-92
PDF size: 175.89 Kb.


ABSTRACT

Introduction: Fractures in paediatric patients affect the thoracic member up to 83%, and 5 to 18% of all fractures belong to the elbow. The most frequent elbow fractures are: supracondylar, lateral condyle and medial epicondyle. They are related to compartment syndrome, nervous injury or angular deformity, which is why it is important to know their frequency. Objetive: To determine the frequency of elbow fractures by anatomical region in our pediatric population. Materials and methods: Retrospective, cross sectional and observational study of patients with elbow fracture diagnosis who were attended between March 2014 to February 2017. Results: There was a total of 433 patients, 64% had supracondylar fracture, 11% lateral condyle, 8% medial epicondyle, 6% radiu’s neck, 4% olecranon, 2% luxations, 2% medial condyle, 1% capitellum, 1% Montegia’s fracture luxation and 1% T condylar fracture. 62% were 5 or 6 years old, 58% male and 42% female. 64% of fractures affected the left side and 36% the right side. Conclusion: The supracondylar fractures represent the most frequent pediatric elbow injury, with 64%. They more often occur in 5 and 6 years old male patients, on the left side.


REFERENCES

  1. Mora-Ríos FG, Carriedo-Briseño JM, Bustamante-Torres BB, Mejía-Rohenes LC, López-Marmolejo A, Hernández-Martínez S. Fracturas más frecuentes en niños en el Hospital Regional General Ignacio Zaragoza del ISSSTE. Rev Esp Méd Quir. 2012;17(3):175-8.

  2. Hart ES, Turner A, Albright M, Grottkau BE. Common pediatric elbow fractures. Orthop Nurs. 2011;30(1):11-7.

  3. Little KJ. Common fractures and dislocations. Orthop Clin North Am. 2014;45(3):327-40.

  4. Kim TJ, Sponseller PD. Pediatric supracondylar humerus fractures. J Hand Surg Am. 2014;39(11):2308-11.

  5. Subasi M, Bulut M, Cebesoy O, Uludag A, Karakurt L. Clinical and functional outcomes and treatment options for paediatric elbow dislocations: experiences of three trauma centres. Injury. 2015;46(Suppl 2):S14-8.

  6. Hyatt BT, Schmitz MR, Rush JK. Complications of pediatric elbow fractures. Osthop Clin North Am. 2016;47(2):377-85.

  7. Diesselhorts MM, Deck JW, Davey JP. Compartment síndrome of the upper arm after closed reduction and percutaneous pinning of a supracondylar humerus fracture. J Pediatr Orthop. 2014;34(2):e1-4.

  8. Shah AS, Waters PM, Bae DS. Treatment of the “pink pulseless hand” in pediatric supracondylar humerus fractures. J Hand Surg Am. 2013;38(7):1399-403.

  9. Woratanarat P, Angsanuntsukh C, Rattanasiri S, Attia J, Woratanarat T, Thakkinstian A. Meta-analysis of pinning in supracondylar fracture of the humerus in children. J Orthop Trauma. 2012;26(1):48-53.

  10. Mitchelson AJ, Illingworth KD, Robinson BS, Elnimeiry KA, Wilson CJ, Markwell SJ, et al. Patient demographics and risk factors in pediatric distal humeral supracondylar fractures. Orthopedics. 2013;36(6):e700-6.

  11. Yaokreh JB, Odehouri-Koudou TH, Tembely S, Dieth AG, Kouamé DB, Ouattara O, et al. Delayed treatment of supracondylar elbow fractures in children. Orthop Traumatol Surg Res. 2012;98(7):808-12.

  12. Thapa MM, Iyer RS, Gross JA. Pictorial essay of pediatric upper extremity truma: normal variants and unique injuries. Can Assoc Radiol J. 2013;64(2):101-7.

  13. Conaway WK, Hennrikux WL, Ravanbakhsh S, Winthrop Z, Mahajan J. Surgical treatment of displaced pediatric lateral condyle fractures of the humerus by the posterior approach. J Pediatr Orthop B. 2018;27(2):128-33.

  14. Tanabe K, Miyamoto N. Fracture of an unossified humeral medial epicondyle: use of magnetic resonance imagin for diagnosis. Skeletal Radiol. 2016;45(10):1409-12.

  15. Canavese F, Marengo L, Tiris A, Mansour M, Rousset M, Samba A, et al. Radiological, clinical and funtional evaluation using the quick disabilities of the arm, shoulder and hand questionnaire of children quith medial epicondyle fractures treated surgically. Int Orthop. 2017;41(7):1447-52.

  16. Anari JB, Neuwirth AL, Carducci NM, Donegan DJ, Baldwin KD. Pediatric T-condylar humerus fractures: a systematic review. J Pediatr Orthop. 2017;37(1):36-40.

  17. Suresh S. Type 4 capitellum fractures: Diagnosis and treatment strategies. Indian J Orthop. 2009;43(3):286-91.

  18. Frank JM, Saltzman BM, Garbis N, Cohen MS. Articular shear injuries of the capitellum in adolescents. J Shoulder Elbow Surg. 2016;25(9):1485-90.

  19. Ryu K, Nagaoka M, Ryu J. Osteosynthesis for nonunion of the medial humeral condyle in an adolescent: a case report. J Shoulder Elbow Surg. 2007;16(3):e8-12.

  20. Rincón D, Guzmán R, Camacho K, Abril C. Luxación del codo y fractura del epicóndilo lateral en una niña de 5 años. Reporte de caso. Acta Ortop Mex. 2014;28(6):369-73.

  21. Jiang H, Wu Y, Dang Y, Qiu Y. Closed reduction using the percutaneous leverage technique and internal fixation with K-wires to treat angulated radial neck fractures in children-case report. Medicine (Baltimore). 2017;96(1):e5806.

  22. Brooks A, Hammer E. Acute upper extremity injuries in young athletes, Clin Ped Emerg Med. 2013;14(4):289-303.

  23. Persiani P, Ranaldi FM, Graci J, et al, Isolated olécranon fractures in children affected by osteogenesis imperfecta type I treated with single screw or tension band wiring system: Outcomes and pitfalls in relation to bone mineral density. Medicine (Baltimore). 2017;96(20):e6766.

  24. Corradin M, Marengo L, Andreacchio A, Paonessa M, Giacometti V, Samba A, et al. Outcome of isolated olécranon fractures in skeletally immature patients: comparison open reduction and tension band wiring fixations versus closed reduction and percutaneous screw fixation. Eur J Orthop Surg Traumatol. 2016;26(5):469-76.




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