$simple supracondylar fracture$

The rare flexion-type supracondylar fracture is often the result of a fall directly onto a flexed elbow. As the elbow is forced into hyperextension, the olecranon serves as a fulcrum and focuses the stress on the distal humerus causing fracture. The distal fragment displaces posteriorly in over 95% of cases. The typical mechanism is a fall onto an outstretched hand that puts a hyperextension load on the arm. At this age, the supracondylar area is undergoing remodeling and is typically thinner with a more slender cortex, predisposing this area to fracture. The peak age for supracondylar fractures is between 6 and 7 years of age. This is a fracture that occurs more frequently in skeletally immature children than adults. Understanding the anatomy, radiographic findings, management options, and complications associated with this fracture allow physicians to limit the morbidity associated with this relatively common pediatric injury.Īge is a key factor in the incidence of supracondylar fractures. If there is any question about fracture stability, patients should be seen within 5 days postoperatively for repeat radiographs to ensure that the reduction and pin fixation has been maintained. Closed reduction and percutaneous pinning is the preferred treatment for displaced or unstable fractures.

$simple supracondylar fracture$

Nondisplaced fractures are treated initially with a posterior splint, followed by a long-arm casting. A staging system (based on the lateral radiograph) for classifying the severity of the fracture helps guide definitive management. True anteroposterior and lateral radiographs are essential not only for an accurate diagnosis, but also for creating a treatment plan for these injuries.

$simple supracondylar fracture$

Supracondylar fractures of the humerus are a common pediatric elbow injury that are historically associated with morbidity due to malunion, neurovascular complications, and compartment syndrome.

$simple supracondylar fracture$

Simple supracondylar fracture