The epidemiology of elbow fracture in children: analysis of 355fractures, with special reference to supracondylar humerus fractures

Autor: Houshian, Shirzad, Mehdi, Bassem, Larsen, Morten S.
Zdroj: Journal of Orthopaedic Science; July 2001, Vol. 6 Issue: 4 p312-315, 4p
Abstrakt: We present a study of the pattern of elbow fracturesin children under 15 years of age, during a 5-year period, with special reference to supracondylar humerus fractures. The incidence was 308/100 000 per year; 58% of the children had a fracture in the supracondylar area of the humerus. There were355 elbow fractures, and there were 164 boys (46%) and 191girls (54%). The mean age for the entire group was 7.9 years (for boys, 7.2 years; for girls, 8.5 years). Of 209 supracondylar fractures (including 5 combination fractures), 134 were type I, 40 were type II, and 35 were type III (as classified by Gartland). Associated temporary nerve injuries involving the median, radial, and ulnar nerves were seen in 15 patients with type III supracondylar fractures. Associated brachial artery injuries were seen in 6 patients, 5 of whom had type III fractures.
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