Lesiones nerviosas agudas en fracturas supracondileas del húmero en niños. Rev Mex Ortop Ped ; 1 (2). Language: Español References: Page: Presentación del tema: “Fracturas supracondileas complejas del humero”— . 26 niños remitidos a este centro por mano rosada sin pulso con seguimiento. Clasificación de las fracturas de Müller AO. Placas en puente sobre la conminución. Atornillado transversal simple o placa.

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J Pediatr Orthop ; supracondileaw 2: Explican que el cubioto varo expone a una fuerza aumentada cizallante y rotacional que con una caida simple puede aumentar tanto la transmision de carga que de para fraturar un condilo lateral. After exploration and nerve decompression, 3 fully recovered, 2 partially recovered and one patient had no recovery.

Predictors of failure of nonoperative treatment for type 2 supracondylar humerus fractures. Lateral condylar fracture of the humerus following posttraumatic cubitus varus. Supracondieas nerve palsies after percutaneous cross-pinning of supracondylar fractures in children’s elbows.

Small prospective randomized controlled trial 21 kids in one group, 22 kids in the other group of therapy versus no therapy for pinned supracondylar fracture patients.


If the medial pin appears radiographically to be positioned in the ulnar notch, it may be appropriate to remove it and replace it more anteriorly if the pin is needed for stabilization of the fracture. Transient Neurological problems are common in this fracture.

The Journal of Hand Surgery ; 24A 4: Utrillas-Compaired aC. J Bone Joint Surg ; 70A: Perfused and pulseless pts were operated at an avg of By 3 yrs post-injury she had a 96 degree Baumann angle on the injury side.

Posterior instability of the shoulder after supracondylar fractures recovered with cubitus varus deformity. Previous article Next article. Patterns of pediatric supracondylar humerus fractures. The authors recommend immediate antecubital fossa exploration if an mios remains pulseless to palpation and Doppler examination after reduction and stabilization, rather than a waitand-watch approach.


SRJ is a prestige metric based on the idea that not all citations are the same. J Bone Joint SurgAm ; Los botones se encuentran debajo. Retrospective review of type III fractures did not find any correlation between length of time between injury and surgical treatment with regard to increased operative time, need for open reduction, length of hospital stay or supracindileas result.

Entrar por el tejido desgarrado para evitar inestabilizar mas la fractura. Posttraumatic cubitus varus may predispose a child to subsequent lateral condylar fracture and should be em as more than just a cosmetic deformity.

Fourteen of these 17 children recovered pulse palpable after reduction and stabilization of their fractures. Xupracondileas Pediatr Orthop ; 22 2: She initially had Baumann angles of 85 degrees on the injured side and 82 degrees on the un-injured side.

A review was made of a total of 62 children who underwent surgery at our hospital from December to January for supracondylar fracture of the humerus. The mean follow-up time was 9. No fractras differences in perioperative complications were identified. Delay increases the need for open reduction of type-III supracondylar fractures of the humerus.

Fractura Supracondilea De Humero

Estimated varus deformities leading to these findings were Baumann angles in the 95 degree to degree range. The authors conclude that angiography is of little use and that color flow duplex imaging deserves further study.

Postoperative stiffness was not common, as only six patients had loss of extension of 10 degrees or more. A mini-open procedure is recommended for the ulnar Kirschner wire K-wire to prevent iatrogenic ulnar nerve injury. As compared to lateral pinning, crossed pinning was associated with a higher rate of ulnar nerve injury. J Pediatr Orthop ; 18 5: Ulnar nerve injury after K-wire fixation of supracondylar humerus fractures in children.


The importance of a thorough initial fracuras and vascular examination, as well as subsequent examinations immediately after treatment and during recovery is emphasized. Seven patients had a cold white hand after closed reduction and pinning, and received open reduction and arterial exploration.

The primary cause of deformity was inadequate reduction with medial tilt. The other 6 perfused and pulseless pts who never had a documented return of pulse suffered no known ill effects of their injury. To determine if a degree fgacturas rotational remodelling is possible in supracondylar fractures in children and influential factors. The authors calculated the number needed to harm NNH such that for every 28 patients treated with crossed pinning, 1 ulnar nerve injury would occur.

Fractura Supracondilea De Humero –

Retrospective review where 20 of 92 type III fractures were initially irreducible, and in 18 of these brachialis muscle interposition was diagnosed by physical examination cubital fossa ecchymosis, dimpling of skin anteriorly over fracture site, palpable proximal fragment in subcutaneous tissues anteriorly or intraoperative findings.

Si continua navegando, consideramos que acepta su uso. Skeletal traction, however, provided acceptable results in some patients who had significant soft-tissue swelling. J Suprwcondileas Trauma ; 4: The effect of elbow position on the radial pulse measured by Doppler ultrasonography after surgical treatment of supracondylar elbow supracondileae in children. Eur J Vasc Endovasc Surg ;