Supracondylar humerus fractures. Current trends and controversies.
Supracondylar fractures of the humerus are one of the largest sources of serious problems and treatment controversy in childhood fractures. Improved understanding of the injuries to both the bone and soft tissue has contributed to improved outcomes. These fractures remain challenging to even the most experienced physician. This article reviews the pertinent biomechanics, outlines treatment principles, illustrates our reduction and percutaneous pin fixation technique, and highlights the major areas of controversy.
Minkowitz
B
B
Department of Orthopaedic Surgery, Scottish Rite Children's Medical Center, Atlanta, Georgia.
Busch
M T
MT
D001696:Biomechanical Phenomena; D001858:Bone Nails; D001916:Brachial Artery / Q000293:injuries; D002648:Child; D002675:Child, Preschool; D003161:Compartment Syndromes / Q000209:etiology; D004551:Elbow Joint / Q000503:physiopathology; D005592:Fracture Fixation / Q000379:methods* / Q000639:trends; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000473:pathology / Q000503:physiopathology* / Q000601:surgery*; D016916:Joint Deformities, Acquired / Q000209:etiology; D008475:Median Nerve / Q000293:injuries; D000092464:Elbow Injuries