title: [Clinical and epidemiological characteristics of humeral supracondylar fractures in pediatric patients in a Regional General Hospital].
abstract: BACKGROUND
  Supracondylar humerus fractures are common in children between 5-7 years of age and more frequent in the males, 90-95% of these fractures are in extension mechanism, the urgency of immediate attention is to prevent complications and sequelae.
  
  
  OBJECTIVE
  To establish the clinical and epidemiological profile of supracondylar humerus fractures, in a General Regional Hospital from the Instituto Mexicano del Seguro Social in Yucatan Mexico, during 2011-2013.
  
  
  METHODS
  A cross-sectional study. Strength association was measured by odds ratios and statistical significance with chi(2) test, p value was considered in < 0.05 RESULTS: 56 cases were analyzed, the mean age was 2.6 ± 5.33 years, the mechanism of injury was falling over at home, male gender is associated with extent injure mechanism (OR 5.6, 95% CI 1.0-30.1, p = 0.03), we observed that at most time elapsed between injury and medical means more hospital days (r = 0.40; p = 0.002), surgical treatment was established in 44 cases (78.6%), 18 (40.9%) with closed technique and placement of cloves and 26 (59.1%) with open reduction, in 100% cross configuration was used, ten complications were reported.
  
  
  CONCLUSIONS
  Supracondylar humerus fractures are a common injury in children, males are more likely to be injured by extension, and the speed in medical treatment is an important issue.
authors.affiliation: Servicio de Ortopedia y Traumatología, Hospital General Regional #1, Mérida, Yucatán, México.
authors.forename: Erika Alejandrina
authors.initials: EA
authors.lastname: Barrón-Torres
authors.affiliation: Coordinación Auxiliar Médica de Investigación en Salud, Instituto Mexicano del Seguro Social, Delegación Estatal Yucatán, Mérida, Yucatán, México. Electronic address: juansanchezcr@gmail.com.
authors.forename: Juan Francisco
authors.initials: JF
authors.lastname: Sánchez-Cruz
authors.affiliation: Servicio de Ortopedia y Traumatología, Hospital General Regional #1, Mérida, Yucatán, México.
authors.forename: José Ramses
authors.initials: JR
authors.lastname: Cruz-Meléndez
mesh_terms: D000058:Accidental Falls; D001858:Bone Nails; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D057210:Delayed Diagnosis; D005260:Female; D005592:Fracture Fixation / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D006810:Humeral Fractures / Q000453:epidemiology* / Q000601:surgery / Q000628:therapy; D007223:Infant; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008800:Mexico / Q000453:epidemiology; D011183:Postoperative Complications; D012086:Reoperation; D015599:Trauma Severity Indices
keywords: Children injuries; Fractura humeral; Fracturas en niños; Humeral fractures; Supracondylar; Supracondílea