Pediatric Trauma
A 6-year-old boy falls from monkey bars onto his outstretched hand. He presents with severe elbow pain and swelling. His elbow is held in flexion with an obvious deformity. The forearm is pale and he cannot make an "OK" sign (oppose thumb to index finger). The radial pulse is weak. Radiographs show a posterolaterally displaced, completely displaced supracondylar fracture with no cortical contact. Regarding supracondylar fractures of the humerus in children:
Mark each as TRUE or FALSE
Supracondylar fractures are the most common elbow fracture in children (60%), typically occurring ag...
The Gartland classification grades extension-type fractures: Type I (undisplaced or minimally displa...
Flexion-type fractures are more common than extension-type; the radial nerve is at highest risk in a...
Treatment: Type I fractures are treated with cast immobilization; Type II fractures can be treated w...
Radiographic assessment includes the anterior humeral line (should bisect middle third of capitellum...
Answer the questions to see explanations
Click T (True) or F (False) for each option