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OrthoVellum

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Paediatrics
intermediate
X-Type

Supracondylar Fracture Management

Elbow Fractures

A 7-year-old boy presents after falling from monkey bars onto his outstretched hand. His left elbow is swollen and held in flexion. He has pain with passive finger extension and weakness of thumb interphalangeal joint flexion. Radiographs show a completely displaced extension-type supracondylar fracture with posterior cortical contact. Regarding supracondylar fractures in children:

Mark each as TRUE or FALSE

A

Supracondylar fractures are the most common elbow fracture in children (60%), with peak incidence at...

B

Gartland classification: Type I (non-displaced, anterior humeral line still passes through capitellu...

C

Flexion-type injuries are more common than extension; the lateral condyle is most commonly fractured...

D

The anterior interosseous nerve (AIN) is the most commonly injured nerve in extension-type fractures...

E

Treatment: Type I requires above-elbow cast in 60-90 degrees flexion; Type II-III requires urgent cl...

Answer the questions to see explanations

Click T (True) or F (False) for each option