Paediatric Elbow
A 6-year-old boy presents after falling from monkey bars. His left elbow is swollen and held in flexion. Radiographs show a completely displaced posterior supracondylar humerus fracture (Gartland Type III). His radial pulse is present but diminished compared to the uninjured side, and the hand is pink and well-perfused. Regarding supracondylar humerus fractures:
Mark each as TRUE or FALSE
Supracondylar fractures are the most common elbow fracture in children, typically occurring in ages ...
Vascular injury (brachial artery) occurs in 10-20% of Type III fractures; assessment includes pulse,...
Flexion-type supracondylar fractures are most common; the anterior interosseous nerve is never affec...
Nerve injuries occur in 10-20% of displaced fractures: anterior interosseous nerve (extension-type, ...
Treatment: Type I (above-elbow cast in 90 degrees flexion), Type II (closed reduction and percutaneo...
Answer the questions to see explanations
Click T (True) or F (False) for each option