Neuro-vascular Injuries Associated with Supracondylar Fractures of the Humerus in Children / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
;
: 240-246, 2008.
Article
in Korean
| WPRIM
| ID: wpr-649019
ABSTRACT
PURPOSE:
Supracondylar fractures in children have the potential for associated neuro-vascular injuries. It is important to diagnose and manage these fractures because they are often underestimated when assessing a painful elbow in agitated children. This study focused on evaluating the frequency of neuro-vascular injuries associated with fracture displacement, and to define a therapeutic strategy. MATERIALS ANDMETHODS:
From January 1997 to December 2006, 128 children who were available to follow up were examined restrospectively. The incidence of neuro-vascular injuries was investigated, and the types and displacement of fractures were classified. The therapeutic strategy and complications were also defined.RESULTS:
Neuro-vascular complications occurred in 24 patients. Seventeen, 12, 4, 4 and 1 patient had only neural injuries, radial, ulnar, median, and anterior interosseous nerve. There were 4 patients with both neural and vascular injuries, and 3 patients had only vascular injuries. Most neural injured patients had recovered completely, but 1 patient had not recovered after 6 months. Therefore, exploration and sural nerve graft was performed.CONCLUSION:
The frequency of neuro-vascular injury is a result of severely displaced supracondylar fracture. A therapeutic strategy for supracondylar fractures in children is proposed to minimize complications.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Organic Chemicals
/
Sural Nerve
/
Incidence
/
Follow-Up Studies
/
Transplants
/
Dihydroergotamine
/
Displacement, Psychological
/
Elbow
/
Vascular System Injuries
/
Humerus
Type of study:
Incidence study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Child
/
Humans
Language:
Korean
Journal:
The Journal of the Korean Orthopaedic Association
Year:
2008
Type:
Article
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