Xray of Flexion Type Supracondylar Fracture In A Child


This is an xray of a five year old boy who sustained injury to the elbow after fall. The antreopsterior and lateral view of elbow [see image] revealed a flexion type supracondylar fracture.

Flexion type suprcondylar injuries are rarer as compared to extension type


Flexion Type Supracondylar Fracture In A child

Flexion Type Supracondylar Fracture In A child

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Comments

  1. Ahmed Abulmagd says:

    plz comment on plan of management and postop x-ray if feasible

    Dr Arun Pal Singh Reply:

    @Ahmed Abulmagd,

    Closed reduction and percutaneous pinning would be the treatment.

    In case above is not feasible open reduction can be done.

    Some also advocate closed reduction and plaster.

    This patient was managed by CR and percutaneus pinning.

  2. Ahmed Abulmagd says:

    In my institusion we used to do CR and percutaneous pinning or ORIF, i was wondering how will it look after pinning for this low supracondylar fx.
    i remember in one exam how was the examiner mad of me when told him CR for supracondylar fx Gartland III
    ur website is so helpful

    Dr Arun Pal Singh Reply:

    @Ahmed Abulmagd,

    Thanks.
    Unfortunately I do not have the post op xray.
    Next time.

    What do you do?

  3. Candice Shah says:

    Hi, I would like to know if this fracture is placed in a collar and cuff or just kept in extension as part of treatment?

    Dr Arun Pal Singh Reply:

    @Candice Shah,

    The fracture is treated in plaster or traction. The treatment depends upon the individual and configuration of the fracture

  4. Ahmed Abulmagd says:

    I treat this fx with single trial of closed reduction and percutaneous pinning and AE posterior slab in full extension so i can assess the carrying angle, If x-ray is less satisfactory i proceed to open reduction and wirefixation through double approach (medial and lateral)

    Dr Arun Pal Singh Reply:

    @Ahmed Abulmagd,

    Yes! That is acceptable method of the treatment.

    Where do you work?

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