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Controversial topics in the management of displaced supracondylar humerus fractures in children

✍ Scribed by Juan Pretell-Mazzini; Juan Rodriguez-Martin; Ismael Auñon-Martin; José Alberto Zafra-Jimenez

Book ID
107498547
Publisher
Springer Milan
Year
2011
Tongue
English
Weight
251 KB
Volume
6
Category
Article
ISSN
1828-8936

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✦ Synopsis

The aim of our study was to review the literature looking for the up to date information regarding these controversial topics. An electronic literature search was performed using the Medline/PubMed database. A closed reduction attempt should always be done first. It is more important to engage both columns as well as divergence of the pins no matter whatever configuration is applied. Time to surgery seems to be not an important factor to increase the risk of complications as well as open reduction rate. Usually neurological injuries present a spontaneous recovery. If there is absent pulse, we should follow the algorithm associated with the perfusion of the hand.

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Between March 2000 and March 2005, 840 children with grade III supracondylar humeral fractures presented for treatment, consecutively at our hospital. One hundred twenty had absent or diminished (detected by Doppler but not palpable) radial pulse on initial examination. Eighty-nine of these 120 chil