Monday, May 21, 2012

Ow my elbow! A bit about supracondylar fractures of the humerus

Type I
Nondisplaced or minally displaced fracture
On the lateral view: anterior humeral line remains intact but a posterior fat pad sign may be present
Treated w/ immobilization in long arm posterior splint w/ elbow flexed and outpatient Ortho follow up

Type II
Posterior cortex remains intact, making it a greenstick fracture technically
Require adequate reduction and percutaneous pinning in many instances
Consult Ortho immediately

Type III
Displaced with no cortical contact
Immediate Ortho consult - This will need to go to the OR in most instances

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