![]() suspected extension-type supracondylar frx are initially splinted in 20 deg of elbow flexion pending evaluation & treatment. it is essential to distinguish extension type from flexion type injuries Treatment of Displaced Frx: (see type II and type III)) ref: Neurovascular injuries in type III humeral supracondylar fractures in children. ![]() posteromedial fracture displacement is strongly correlated with radial nerve injury posterolateral fracture displacement is correlated with median nerve and vascular compromise note that a median nerve palsy, may mask a pending compartment syndrome Simultaneous ipsilateral fractures of the arm and forearm in children. Ipsilateral supracondylar fracture of humerus and forearm bones in children. Ipsilateral proximal metaphyseal and flexion supracondylar humerus fractures with an associated olecranon avulsion fracture. Supracondylar elbow fractures with impaction of the medial condyle in children. palpate distal radius for frx (occurs in 5-6%) references: The prognostic value of the fracture level in the treatment of Gartland type III supracondylar humeral fracture in children. type III: displaced with no cortical contact type II: displaced with intact posterior cortex recognizes that anterior cortex fails first w/ resultant posterior displacement of distal fragment gartland classification for extension fractures: 2 types: extension type (95%) & flexion type frx occurs most often around age 6-7 years in adults, supracondylar frx of humerus may be intra-articular frx line angles from anterior distal point to posterior prox site in children, supracondylar frxs typically remains extra-articular & involves thin bone between coronoid fossa & olecranon fossa of
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