title: Analysis of Early Neurovascular Complications of Pediatric Supracondylar Humerus Fractures: A Long-Term Observation.
abstract: Purpose. Analysis of early vascular and nerve complications of supracondylar humerus fractures in children.Material and Methods. 220 children hospitalized in the Pediatric Trauma-Orthopedic Department in the years 2004-2014. The group consisted of 143 males and 77 females.Results. Acute neurovascular complications occurred in 16.81% of patients with displaced supracondylar fracture (37 children). Nerve damage was found in 10% of patients with displaced fracture (22 children). The most injured nerve was median nerve; this complication occurred in 15 patients (68.18%). The total nerve function returned after average of 122 days (0-220 days after surgery). Symptoms of vascular injury occurred in 7.7% children with displaced fracture (17 children).Conclusions. (1) In children with supracondylar fracture the most often injured nerve is median nerve. (2) The incidence of vascular and nerve complications positively correlates with the progression of fracture according to Gartland classification.
authors.affiliation: Department of Pediatric Traumatology and Orthopedy and Department of Pediatric Surgery and Urology, Silesian Medical University, Katowice, Poland.
authors.forename: Ryszard
authors.identifier: 0000-0002-1628-0866
authors.initials: R
authors.lastname: Tomaszewski
authors.affiliation: Department of Pediatric Traumatology and Orthopedy and Department of Pediatric Surgery and Urology, Silesian Medical University, Katowice, Poland.
authors.forename: Artur
authors.initials: A
authors.lastname: Wozowicz
authors.affiliation: Department of Pediatric Traumatology and Orthopedy and Department of Pediatric Surgery and Urology, Silesian Medical University, Katowice, Poland.
authors.forename: Paulina
authors.initials: P
authors.lastname: Wysocka-Wojakiewicz
mesh_terms: D000293:Adolescent; D001858:Bone Nails / Q000009:adverse effects; D002648:Child; D002675:Child, Preschool; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000150:complications / Q000503:physiopathology*; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000503:physiopathology*; D058430:Humeral Head / Q000503:physiopathology; D007223:Infant; D008297:Male; D008475:Median Nerve / Q000293:injuries / Q000503:physiopathology*; D059348:Peripheral Nerve Injuries / Q000209:etiology / Q000503:physiopathology*; D012189:Retrospective Studies; D057772:Vascular System Injuries / Q000209:etiology / Q000503:physiopathology*