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MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 2, Issue 6, June 2015 pp 352-354
Research Article
Supracondylar humerus fractures in children: A descriptive study
Chetan R Jaju
1Assistant Professor, Department of Orthopaedics, MIMSR Medical College, Maharashtra, INDIA.
Abstract
Introduction: Fractures occur more often in the pediatric age group than in healthy adults. One reason for this is that children and adolescents are less skilled at risk assessment. Furthermore, bone is less stable—albeit much more elastic—during skeletal development than in adulthood. These properties explain both the higher incidence and the more rapid healing of fractures in children and adolescents. Aims and objectives: To study the various factors associated with Supracondylar humerus fractures observed in children. Materials and method: The present study was conducted in the department of orthopedics of post graduate institute of Swasthiyog Pratishtan, Miraj. For the purpose of study total 40 children of supracondylar humerus fractures in were selected. Detail history of each case was recored on a prestructured proforma including age, sex, laterality of fracture, and mode of injury, etc. Through clinical examination of patient was done in all the cases. Vascular and neurological status of extremity was evaluated. Mode of injury and time after injury was noted. The radiographs, antero- posterior and lateral of affected extremity were taken. Each fracture is divided into flexion or extension type. Extension type of fracture were further classified according to Gartland’s classification in type I, II, IIIa and IIIb type I cases, for which no manipulative reproduction was required, were excluded from the study. The collected data was entered in the excel sheet and was analyzed and presented with appropriate graphs and tables. Results: majority of the children (67.5%) with suprachondylar fracture of humerus were in the age group of 6 to 11 years. The proportion of male was also observed higher as compared to female children. Left side was involved in 60% cases. Extension type of injury was obserfed in 97.5% cases whereas only one case was reported with flexion type injury. The extension type of fractures were further classified by using Gartland’s classification and it was seen that 56.41% cases were of type II class whereas 33.33% cases were of type IIIa class. Radial pulse was absent in 7.5% cases. Incidence of nerve paresis was 5%. Conclusion: Supracondylar fracture of humerus is commonest elbow injuries in age group of 6 to 11 years with higher proportion of male children. Left sided extension type of injury was common with Gartland’s classification class II.
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