Article
Pediatrics
Victor Pena-Martinez, Yadira Tamez-Mata, Mariel Garcia-Limon, Mario Simental-Mendia, Jose F. De La Garza-Salazar, Alberto Moreno-Gonzalez, Carlos Acosta-Olivo
Summary: The study aimed to investigate the association between body weight, clinical signs, surgical time, and the severity of elbow fractures in children caused by a ground-level fall. The results showed no direct relationship between obesity and the severity of elbow fractures.
MINERVA PEDIATRICS
(2023)
Article
Medicine, General & Internal
Katja Storch, Jurek Schultz, Guido Fitze
Summary: The study demonstrates that color-coded duplex ultrasound can help identify neurovascular lesions in patients with supracondylar humerus fractures (SHF) that may be underdiagnosed clinically. It can accurately diagnose vascular impairments that may go unnoticed in routine clinical examinations, thus reducing diagnostic uncertainty and avoiding therapeutic delay.
Article
Medicine, General & Internal
Jacob M. Modest, Peter G. Brodeur, Kang W. Kim, Edward J. Testa, Joseph A. Gil, Aristides I. Cruz
Summary: This study aimed to investigate the association between demographic and socioeconomic factors and the inpatient versus outpatient management of pediatric supracondylar humerus fractures (SCHFs). The study found that race, weekend injury, and higher social deprivation were associated with increased odds of inpatient treatment for SCHFs.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Pediatrics
Fei Qiao, Xiaohong Guan, Fei Jiang, Ping Lv
Summary: In the past, open reduction and internal fixation (ORIF) was commonly used for the treatment of obviously displaced lateral condyle fractures of the humerus in children. However, recent studies have shown that closed reduction and percutaneous pinning (CRPP) can also be effective. This retrospective investigation analyzed the radiographic and clinical results of patients with these fractures, and a new classification and algorithm for closed reduction was proposed.
FRONTIERS IN PEDIATRICS
(2023)
Article
Orthopedics
Li-wei Xie, Juan Wang, Zhi-qiang Deng
Summary: Close observation after urgent closed reduction and percutaneous pinning is a sufficient approach for treating pediatric supracondylar humeral fractures with a pink pulseless hand. Surgical exploration is not necessary as long as the hand is warm and well perfused. Color-flow Duplex ultrasound is beneficial for assessing vascular compromise and determining treatment strategies.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Orthopedics
Alexander Nazareth, Mathew Schur, Amanda J. Schroeder, Patrick W. Whitlock, David L. Skaggs, Rachel Y. Goldstein
Summary: The study demonstrates that obese children with completely displaced supracondylar humerus fractures have a higher risk of Gartland type IV fractures and preoperative nerve palsy compared to normal weight children. However, there were no significant differences between the obese and non-obese groups in terms of open reduction, compartment syndrome, and reoperation rates.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Chemistry, Multidisciplinary
Witit Pothong, Phichayut Phinyo, Yuddhasert Sirirungruangsarn, Kriengkrai Nabudda, Nattamon Wongba, Chatchawarl Sarntipiphat, Dumnoensun Pruksakorn
Summary: The study compared the construct stiffness of alternative sagittal pin configurations using synthetic bone models, finding that the divergent sagittal pin configuration provided the highest construct stiffness in extension, valgus, and external rotation loads. However, the parallel sagittal pin configuration had slightly lower construct stiffness under extension load compared to the divergent and crossed sagittal pin configurations.
APPLIED SCIENCES-BASEL
(2021)
Article
Orthopedics
Gang Chen, Lu Cui, Jiaqi Shi, Peng Zhang, Jun Li, Zijian Wang, Jun Song, Bangjun Wang
Summary: There was no significant difference in reduction quality and Flynn's scores between HTa and Baumann groups. Furthermore, HTa was associated with shorter operation time and less radiation exposure in this investigation. Therefore, HTa may be a convenient and reliable parameter that could guide the reduction of supracondylar humerus fractures, especially for young children.
BMC MUSCULOSKELETAL DISORDERS
(2021)
Article
Pediatrics
Sietse E. S. Terpstra, Paul T. P. W. Burgers, Huub J. L. van der Heide, Pieter Bas de Witte
Summary: Pediatric supracondylar humerus fractures often require the decision of whether to operate immediately or postpone until office hours. The effect of timing of surgery on outcomes is uncertain. A review of six relevant articles found no significant risks or benefits from operating during office hours or after-hours. It appears safe to postpone surgery to office hours if circumstances are not optimal, but further research is needed.
Article
Medicine, General & Internal
Alexander M. Bitzer, Stephen M. Belkoff, Christa L. LiBrizzi, Chimelie Chibututu, R. Jay Lee
Summary: In the treatment of pediatric supracondylar humerus fractures, the stability of 3 lateral pin construct was significantly better than the construct with pins diverging in both coronal and sagittal planes as well as crossed-pin configuration. The stability of the fixation was influenced by sagittal alignment and greater pin spread in the sagittal plane. Lateral pin configurations were superior in stability compared to crossed-pin configuration.
Article
Pediatrics
Liuqi Weng, Yujiang Cao, Ge Zhang, Hai Zhou, Xing Liu, Yuan Zhang
Summary: This study compared the clinical outcomes and complications of closed reduction and open reduction in the treatment of displaced and rotated lateral condyle fractures in children. The results showed no significant differences between the two methods in demographic variables, postoperative complications, and clinical parameters. Open reduction had the shortest surgical duration, while closed reduction resulted in faster fracture healing.
FRONTIERS IN PEDIATRICS
(2022)
Article
Medicine, General & Internal
Tommy Pan, Matthew R. Widner, Michael M. Chau, William L. Hennrikus
Summary: This study evaluated the treatment and outcomes of open supracondylar humerus fractures in children, showing excellent results through urgent intervention, the use of a medial pin, and other methods.
CUREUS JOURNAL OF MEDICAL SCIENCE
(2021)
Article
Pediatrics
Tu Ngoc Vu, Son Hong Duy Phung, Long Hoang Vo, Uoc Huu Nguyen
Summary: This study described the clinical and paraclinical characteristics and diagnostic approach to brachial artery injuries in pediatric supracondylar humerus fractures. Results showed significant reduction in severely displaced fractures after casting and percutaneous pinning. Intraoperative vascular injuries mainly presented as vasospasm, with complications including embolism and infection.
Article
Orthopedics
Benjamin W. Hoyt, DesRaj M. Clark, Sarah A. Walsh, Raymond A. Pensy
Summary: Comparing surgical dislocation and olecranon osteotomy approaches, the surgical dislocation method provides significantly greater visualization of the anterior articular surface and capitellum in treating distal humeral fractures, including those extending to the medial surface of the trochlea.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Surgery
Samuel M. Kwok, Catriona Clayworth, Naveen Nara
Summary: This study compared the clinical and surgical outcomes of lateral-only and cross-pinning in pediatric supracondylar humerus fractures, finding that cross pinning provides better stability but carries a higher risk of iatrogenic nerve injury.
ANZ JOURNAL OF SURGERY
(2021)