Neurological complications in children with supracondylar fractures of the humerus
- PMID: 10231647
- DOI: 10.1080/110241599750007009
Neurological complications in children with supracondylar fractures of the humerus
Abstract
Objective: To study the incidence of primary and secondary nerve injury in supracondylar fractures of the humerus, and to find out which factors may be responsible for iatrogenic nerve injuries.
Design: Retrospective study.
Setting: University Hospital, The Netherlands.
Subjects: 32 children admitted with type II or type III supracondylar fracture of the humerus.
Main outcome measures: Incidence of primary and secondary nerve injury and their relation to type of fracture and treatment.
Results: 3 patients developed primary nerve injuries (9%). 4 further children developed nerve injury during treatment. All these children had several closed reductions attempted before definitive treatment was given (either pinning with a Kirschner wire or overhead traction).
Conclusion: Several attempts at closed reduction may cause iatrogenic nerve injury in unstable supracondylar fractures of the humerus.
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