Yoshida N, Tsuchida Y. BMJ Case Rep 2017. doi:10.1136/bcr-2017-222303 Description A 9-year-old boy presented to the emergency department with severe left elbow pain after a fall from a skateboard. On physical examination, an open injury in his left elbow that exposed the humeral lateral epicondyle was observed (Gustilo grade; figure 1A). The radial pulse was well palpated, but the neurological ...

PURPOSE To report the results of surgical management for late-presenting displaced supracondylar fractures of the humerus in children. METHODS Between February 2002 and June 2003, 40 children (mean age, 7 years) with late presentation (range, 2-12 days) of displaced supracondylar humeral fractures were prospectively recruited. Gentle closed manipulation under image intensification was attempt...

A closed reduction technique using a posteriorly inserted intrafocal Kirschner wire for unstable Gartland type-III supracondylar humeral fractures in children is described. This surgical technique has been used in 7 patients. None had neurovascular complications, and all achieved bone union and had good or excellent functional and cosmetic results.

Background: The most common pediatric elbow fracture is supracondylar humeral fracture which accounts for 60% ofelbow fractures in children. The aim of this study was to evaluate the results of open reduction and internal fixation oftype III supracondylar humeral fractures using a Triceps sparing posterior approach.Methods: In total, 98 patients were evaluated from June 2007 t...

INTRODUCTION Closed reduction and percutaneous pinning are the most widely used treatment options for displaced supracondylar humerus fractures in children, but there is still no consensus concerning the most preferred technique in injuries of the extension type. OBJECTIVE The aim of this study was to compare three common orthopaedic procedures in the treatment of displaced extension type sup...

Radial nerve injuries in displaced extension-type supracondylar humeral fractures in children are well known. Entrapment in fracture of radial nerve is uncommon and rarely evocated in literature. We report two similar cases in the mechanism of injury, the clinical findings and the treatment and propose therapeutic guidelines.

PURPOSE To investigate the etiologic factors related to refractures of the upper extremity in children. PATIENTS AND METHODS Eighteen refractures were divided into three groups according to the location of the initial fractures. They were analyzed in terms of the type of refractures, fracture patterns, and the existence of an underlying deformity. RESULTS Of nine supracondylar fractures of ...

Background Paediatric elbow injuries account for a large proportion of childrens' fractures. Knowledge of common injuries is essential to understanding their assessment and correct management. Methods A selective literature search was performed and personal surgical experiences are reported. Results We have described the assessment and management of the five most common paediatric elbow inj...

Malunions are a well-recognized complication of pediatric supracondylar humeral fractures. Results of corrective osteotomies vary, and complication rates have been reported to be as high as 40%. Considering the high rate of complications for malunion correction, we investigated the feasibility of arthroscopy. We present a technique for arthroscopic supracondylar osteotomy and percutaneous pinni...