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Paediatrics
intermediate
X-Type

Supracondylar Humerus Fracture Classification

Paediatric Elbow Trauma

A 6-year-old girl presents after falling from playground equipment onto an outstretched hand. She has significant elbow swelling and deformity. The radial pulse is palpable but weak compared to the contralateral side. She has difficulty making an "OK" sign with her thumb and index finger. Radiographs show a displaced extension-type supracondylar humerus fracture with posterior displacement and rotation. Regarding supracondylar humerus fractures in children:

Mark each as TRUE or FALSE

A

Supracondylar fractures are the most common elbow fracture in children, with peak incidence at 5-7 y...

B

The modified Gartland classification: Type I (undisplaced, anterior humeral line still passes throug...

C

Flexion-type fractures are more common than extension-type; the anterior humeral line in undisplaced...

D

The anterior interosseous nerve (AIN) is the most commonly injured nerve (pure motor branch of media...

E

Treatment: Type I with splinting in 90 degrees flexion; Type IIA may be treated with casting after a...

Answer the questions to see explanations

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