Type II supracondylar humerus fractures: Can some be treated nonoperatively?

Journal of Pediatric Orthopaedics

Volumn 32, Issue 7, 2012, Pages 675-681

  Spencer, Hillard T ^a   Dorey, Frederick J ^b   Zionts, Lewis E ^a,c   Dichter, Daniel H ^c   Wong, Melissa A ^c   Moazzaz, Payam ^a   Silva, Mauricio ^a,c  

^a UCLA Orthopaedic Hospital   (United States)

^b CHILDREN S HOSPITAL LOS ANGELES   (United States)

^c JOINT REPLACEMENT INSTITUTE   (United States)

Author keywords

elbow fractures in children; fracture management; supracondylar humerus fractures; type II supracondylar humerus fractures

Indexed keywords

ADOLESCENT; ARM MALFORMATION; ARTICLE; CHILD; CONSERVATIVE TREATMENT; ELBOW FRACTURE; FEMALE; FOLLOW UP; HUMAN; HUMERUS SUPRACONDYLAR FRACTURE; INFANT; INJURY SEVERITY; MAJOR CLINICAL STUDY; MALE; POSTOPERATIVE COMPLICATION; PRESCHOOL CHILD; PRIORITY JOURNAL; RANGE OF MOTION; RETROSPECTIVE STUDY; SCHOOL CHILD; SCORING SYSTEM; TREATMENT OUTCOME;

ADOLESCENT; ALGORITHMS; CHILD; CHILD, PRESCHOOL; FEMALE; FOLLOW-UP STUDIES; HUMANS; HUMERAL FRACTURES; INFANT; MALE; ORTHOPEDIC PROCEDURES; RANGE OF MOTION, ARTICULAR; REGISTRIES; RETROSPECTIVE STUDIES; TRAUMA SEVERITY INDICES; TREATMENT OUTCOME;

EID: 84866248036     PISSN: 02716798     EISSN: 15392570     Source Type: Journal    
DOI: 10.1097/BPO.0b013e318269c459     Document Type: Article

References (21)

1. Wilkins KE. Fractures and dislocations of the elbow region. In: Rockwood CA, Wilkins KE, King RE, eds. Fractures in Children. Philadelphia: JB Lippincott Co.; 1984:363-575.
2. Omid R, Choi PD, Skaggs DL. Supracondylar humeral fractures in children. J Bone Joint Surg Am. 2008;90:1121-1132. (Pubitemid 351632659)
3. Davis RT, Gorczyca JT, Pugh K. Supracondylar humerus fractures in children. Comparison of operative treatment methods. Clin Orthop. 2000;376:49-55. (Pubitemid 30445677)
4. Gordon JE, Patton CM, Luhmann SJ, et al. Fracture stability after pinning of displaced supracondylar distal humerus fractures in children. J Pediatr Orthop. 2001;21:313-318. (Pubitemid 32381552)
5. Kallio PE, Foster BK, Paterson DC. Difficult supracondylar elbow fractures in children: analysis of percutaneous pinning technique. J Pediatr Orthop. 1992;12:11-15.
6. Mazda K, Boggione C, Fitoussi F, et al. Systematic pinning of displaced extension-type supracondylar fractures of the humerus in children. A prospective study of 116 consecutive patients. J Bone Joint Surg Br. 2001;83:888-893. (Pubitemid 32785563)
7. Pirone AM, Graham HK, Krajbich JI. Management of displaced extension-type supracondylar fractures of the humerus in children. J Bone Joint Surg Am. 1988;70:641-650.
8. Skaggs DL, Hale JM, Bassett J, et al. Operative treatment of supracondylar fractures of the humerus in children. The consequences of pin placement. J Bone Joint Surg Am. 2001;83-A:735-740. (Pubitemid 32476100)
9. Skaggs DL, Sankar WN, Albrektson J, et al. How safe is the operative treatment of Gartland type 2 supracondylar humerus fractures in children? J Pediatr Orthop. 2008;28:139-141. (Pubitemid 351498917)
10. Hadlow AT, Devane P, Nicol RO. A selective treatment approach to supracondylar fracture of the humerus in children. J Pediatr Orthop. 1996;16:104-106. (Pubitemid 26012393)
11. Minkowitz B, Busch MT. Supracondylar humerus fractures. Current trends and controversies. Orthop Clin North Am. 1994;25:581-594. (Pubitemid 24319251)
12. Parikh SN, Wall EJ, Foad S, et al. Displaced type II extension supracondylar humerus fractures: do they all need pinning? J Pediatr Orthop. 2004;24:380-384. (Pubitemid 38857537)
13. Wilkins KE, Beaty JH, Chambers HG, et al. Fractures and dislocations about the elbow region. In: Rockwood CA Jr., Wilkins KE, Beaty JH, eds. Fractures in Children. Philadelphia: Lippincott-Raven; 1996:680-681.
14. Otsuka NY, Kasser JR. Supracondylar fractures of the humerus in children. J Am Acad Orthop Surg. 1997;5:19-26.
15. Sarmiento A, Sharpe FE, Ebramzadeh E, et al. Factors influencing the outcome of closed tibial fractures treated with functional bracing. Clin Orthop Relat Res. 1995;315:8-24.
16. Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159-174. (Pubitemid 8054849)
17. Fitzgibbons PG, Bruce B, Got C, et al. Predictors of failure of nonoperative treatment for type-2 supracondylar humerus fractures. J Pediatr Orthop. 2011;314:372-376.
18. Bahk MS, Srikumaran U, Ain MC, et al. Patterns of pediatric supracondylar humerus fractures. J Pediatr Orthop. 2008;28: 493-499.
19. De Boeck H, De Smet P, Penders W, et al. Supracondylar elbow fractures with impaction of the medial condyle in children. J Pediatr Orthop. 1995;15:444-448.
20. Bashyal RK, Chu JY, Schoenecker PL, et al. Complications after pinning of supracondylar distal humerus fractures. J Pediatr Orthop. 2009;29:704-708.
21. Simanovsky N, Lamdan R, Mosheiff R, et al. Underreduced supracondylar fracture of the humerus in children: clinical significance at skeletal maturity. J Pediatr Orthop. 2007;27:733-738. (Pubitemid 47428989)