A supracondylar humerus fracture is the most common elbow injury in children, where perfusion status and nerve function dictate urgent management. Assessing the pink pulseless hand, performing a thorough neurovascular exam, and planning pinning strategy based on Gartland classification are essential steps. Prompt reduction and appropriate K‑wire fixation prevent complications such as cubitus varus or nerve palsy. ⏱ Chapters 0:00 Intro 0:52 CLASSIFICATION 1:23 RADIOGRAPHS 1:51 BOAST 2020 2:22 MOTOR EXAMINATION 2:49 OPERATING PRIORITY 3:19 VASCULAR DECISION 4:09 EXPLAINER 5:06 FLUOROSCOPY 5:32 FIXATION 6:02 NERVE DEFICIT · BEFORE OR AFTER 6:33 SURVEILLANCE 7:03 MALUNION 7:33 EVIDENCE 8:07 Recap & sources This video walks through the complete approach to supracondylar humerus fractures in children, covering mechanism, Gartland classification, neurovascular assessment, radiographic evaluation, reduction principles, pinning strategies, and key complications. Understanding these elements is vital for timely decision‑making and optimal outcomes in this common paediatric trauma. 🦴 IN THIS VIDEO YOU'LL LEARN • How to assess perfusion, pulse and hand colour in the pink pulseless hand scenario • Step‑by‑step neurovascular examination, including the OK‑sign test for anterior interosseous nerve function • Interpretation of AP and true lateral radiographs: anterior humeral line, Baumann angle and fat pad sign • Application of the Gartland classification to guide treatment decisions for types I‑III • Principles of urgent closed reduction and K‑wire pinning strategies (lateral only vs crossed pins) • Recognition of complications such as cubitus varus, nerve palsy and compartment syndrome • When to explore the brachial artery versus close monitoring after reduction • Documentation requirements for neurovascular status before, intra‑ and post‑operatively 📌 KEY TAKEAWAYS ✔️ Perfusion, not pulse alone, drives urgency in supracondylar fractures ✔️ A pink, warm hand without a radial pulse still needs immediate reduction ✔️ The OK‑sign test is the reliable way to detect anterior interosseous nerve injury ✔️ Gartland type III fractures require urgent closed reduction and K‑wire fixation ✔️ Residual rotation or medial column collapse predicts cubitus varus malunion ✔️ Post‑reduction neurovascular re‑check is mandatory to catch new deficits 👩⚕️ WHO THIS IS FOR This video is designed for orthopaedic trainees, medical students, clinicians managing paediatric elbow injuries, and interested patients or caregivers seeking a clear, evidence‑based overview of supracondylar humerus fracture assessment and treatment. 📚 RELATED TOPICS: cubitus varus · brachial artery injury · anterior interosseous nerve palsy · K‑wire fixation techniques · paediatric elbow trauma · compartment syndrome in children 🔗 More free orthopaedic teaching at Orthovellum.com — subscribe for weekly videos. 🎨 CREDITS • Benoudina Samir — CC BY-SA 4.0 — CC BY-SA 4.0 — https://commons.wikimedia.org/wiki/File:Baumann%27s_Angle.jpg • Zhang M-R, Zeng X, Guo J-L, Zhao K, Hu J-H, Guan J-H (PMC13270536) — CC BY 4.0 — CC BY 4.0 — https://pmc.ncbi.nlm.nih.gov/articles/PMC13270536/ • Mostafa MF, Paralaya KN, El-Husseini MI (PMC12968072) — CC BY 4.0 — CC BY 4.0 — https://pmc.ncbi.nlm.nih.gov/articles/PMC12968072/ • Maeda Y, Okimura S, Narita Y, Katsumata A, Teramoto A (PMC12490966) — CC BY 4.0 — CC BY 4.0 — https://pmc.ncbi.nlm.nih.gov/articles/PMC12490966/ • Badawy M, Sadek SI, Hassan M, Elnagar AM, Shaheen E, Algohiny IA (PMC12781478) — CC BY 4.0 — CC BY 4.0 — https://pmc.ncbi.nlm.nih.gov/articles/PMC12781478/ • Kilborn T, Moodley H, Mears S; annotations by Häggström M — CC BY-SA 4.0 — CC BY-SA 4.0 — https://commons.wikimedia.org/wiki/File:Anterior_humeral_line.svg • Wu Y, Wen J, Hui W, Wang J, Yang F, Qiu X (PMC12967997) — CC BY 4.0 — CC BY 4.0 — https://pmc.ncbi.nlm.nih.gov/articles/PMC12967997/ • Nakagawa T, Yasui Y, Kawabata K, Sasahara J, Inui T, Nei M, Konno Y, Kawano H, Miyamoto W (PMC13259555) — CC BY 4.0 — CC BY 4.0 — https://pmc.ncbi.nlm.nih.gov/articles/PMC13259555/ • Seo KB, Kim BS, Park YG, Lim C (PMC11123191) — CC BY 4.0 — CC BY 4.0 — https://pmc.ncbi.nlm.nih.gov/articles/PMC11123191/ • Afaque SF, Jeenjwadia N, Agrawal U, Verma V (PMC12664120) — CC BY 4.0 — CC BY 4.0 — https://pmc.ncbi.nlm.nih.gov/articles/PMC12664120/ ⚠️ DISCLAIMER: Educational only — not individual medical advice. Always consult a qualified clinician for diagnosis and treatment. #supracondylarhumerusfracture #paediatricorthopaedics #elbowfracture #kwirefixation #gartlandclassification #perfusionassessment #ainervenur #cubitusvarus #brachialartery #childrensortho #fracturemanagement #reductiontechnique #postopmonitoring #orthovellum