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Supracondylar fracture of the humerus is one of the most common injuries in children. 2012-03-25 Supracondylar fracture can be classified into three main types according to Gartland Classification [7]. Type I refers to a fracture of the distal part of the humerus with no displacement, while type II refers to an angulated fracture of the distal part of the humerus with an intact posterior cortex, and finally, type III refers to a displaced fracture with no cortical contact [Figure1] . www.ncbi.nlm.nih.gov included patients had humeral supracondylar fracture either type 2 or type 3 (Gartland classification).
The treatment of supracondylar humerus fractures can vary from conservative treatment to operative treatment depending on the fracture type. All around the world, the most commonly used classification system is the Wilkins-modified Gartland classification of Supracondylar Humerus Fractures Key Points: Common fracture treated by pediatric orthopaedic surgeons. Radiographic evaluation includes assessment of the anterior humeral line and Baumann’s angle. Gartland classification can be used to formulate treatment algorithm. Supracondylar fractures may be complete or incomplete and have a wide range of severity.
73 Barton et al. 18 found that this classification had higher kappa values for intra- and interobserver variability than those reported for several other fracture classification systems.
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The most common Gartland established the classification causes of injury include a simple fall, fall from a based on the level of dislocation of fragments bicycle, injury during sports activities, and fall (Figure 2): type 1 – undislocated fragments, type from a height. In children with supracondylar fracture the most often injured nerve is median nerve. The incidence of vascular and nerve complications positively correlates with the progression of fracture according to Gartland classification.
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It generally applies to extension type supracondylar fractures rather than (given more importance to one thing when two things are compared) rare flexion supracondylar fractures. Common elbow fracture in young children.
This study investigated levels of agreement in extension-type SCH fracture classification using the modified Gartland classification system. 2017-12-06 · Classifications in brief: the Gartland classification of supracondylar humerus fractures. Clin Orthop Relat Res. 2015;473(2):738-41. PMID: 25361847.
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The modified Gartland classification is often used to describe fracture patterns and guide treatment. 2012-03-25 · The pulseless pink hand after supracondylar fracture of the humerus in children: the predictive value of nerve palsy.
Type I: Non-displaced
Supracondylar fractures are the most common elbow fracture in the pediatric population. Supracondylar fractures comprise 60% of all elbow fractures .This qualitative analysis of supracondylar fractures examined the clinically important aspects of supracondylar fractures including vascular injury, compartment syndrome, neurological injury, brachialis entrapment, associated injuries, etiologies
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• Type II: Angulated Closed reduction with percutaneous pinning. Along with resetting of the bones as described above, your doctor will insert pins through the skin to rejoin the Classification of Supracondylar fracture. Modified Gartland classification( 2006)of supracondylar fractures (based on lateral radiograph):. Type I. Nondisplaced 10 Dec 2019 These fractures of the distal humerus are frequently problematic in terms of diagnosis, treatment, and complications [1].