BACKGROUND More than 200,000 children are injured at playgrounds in the United States each year. Our goal was to introduce a composite measure of playground safety and use this instrument to correlate the incidence of supracondylar humerus fractures with playground safety in an ecologic study design. METHODS We used a novel "overall-safety rating," defined as a composite of 3 previously valid...

Supracondylar fractures are divided into two types as extensor and flexor. Extension-type fractures are more frequent and particularly visible after palm falls when the elbow is hyperextended (3). With many classifications being defined, the Wilkins-modified Gartland classification system is the most commonly used system for the classification of extension-type supracondylar humerus fractures (...

Supracondylar fractures of the humerus were treated in 50 children over a six-year period. Patient age ranged from 2 to 15 years; 58% of the children were between 5 and 8 years of age. Our data agreed with the literature regarding left-sided predominance, usual age at injury, greater incidence in boys, and the infrequency of open and anteriorly displaced fractures. Our data differed from the li...

OBJECTIVE New locked plate devices offer theoretical advantages for the treatment of supracondylar femur fractures associated with a total knee arthroplasty (TKA). These devices also can be inserted with relative ease by using minimally invasive techniques, provide a fixed angle construct, and improve fixation in osteoporotic bone. The purpose of this study was to evaluate the results and compl...

Open supracondylar fractures of the humerus are rare in children, and the treatment strategy for these fractures is yet to be standardized. We present the case of an 8-year-old boy with open supracondylar humerus fracture that was managed with an external wrist fixator. A good clinical outcome was achieved in this case, without the development of any complications over a 6-month follow-up period.

UNLABELLED Supracondylar humerus fractures are common pediatric injuries. Little is known about the risk factors for repeat operative procedures. A retrospective chart review of 709 patients treated for a displaced supracondylar humerus fracture was performed to identify risk factors for return to the operating room during the initial post-operative period. Deviations of routine fracture care w...

The aim of this retrospective multicentre study was to report the continued occurrence of compartment syndrome secondary to paediatric supracondylar humeral fractures in the period 1995 to 2005. The inclusion criteria were children with a closed, low-energy supracondylar fracture with no associated fractures or vascular compromise, who subsequently developed compartment syndrome. There were 11 ...

We treated 22 children with a supracondylar fracture of the humerus and an ipsilateral fracture of the forearm by closed reduction and percutaneous fixation. There were four Gartland type-II and 18 Gartland type-III supracondylar fractures of the humerus. There were fractures of both bones of the forearm in 16 and of the radius in six. Both the supracondylar and the distal forearm fractures wer...

We examined differences in the rate of open reduction, operating time, length of hospital stay and outcome between two groups of children with displaced supracondylar fractures of the humerus who underwent surgery either within 12 hours of the injury or later. There were 77 children with type-3 supracondylar fractures. Of these, in 43 the fracture was reduced and pinned within 12 hours and in 3...

OBJECTIVES Intra-condylar humeral fracture with supracondylar comminution in cats is rare, and the stabilisation for such fractures is challenging. The purpose of our study was to describe the use of a hybrid external skeletal fixator, and to report the complications and outcomes of this surgical technique. METHODS A retrospective review was performed of clinical, radiographic and surgical re...