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
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plz comment on plan of management and postop x-ray if feasible
Dr Arun Pal Singh Reply:
October 21st, 2009 at 3:02 pm
@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.
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:
October 22nd, 2009 at 1:39 am
@Ahmed Abulmagd,
Thanks.
Unfortunately I do not have the post op xray.
Next time.
What do you do?
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:
November 7th, 2010 at 11:26 pm
@Candice Shah,
The fracture is treated in plaster or traction. The treatment depends upon the individual and configuration of the fracture
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:
November 14th, 2010 at 7:50 am
@Ahmed Abulmagd,
Yes! That is acceptable method of the treatment.
Where do you work?