FRACTURAS SUPRACONDILEAS DE HUMERO. JA. janer algarin. Updated 5 June Transcript. Tempranas: Neurológicas %; Vasculares 3 Déficit Neurológico Meta-análisis fracturas. Fracturas en extensión 13% ( 34% Interóseo anterior, luego radial y mediano) Fracturas en flexión 17% (91%. Download Citation on ResearchGate | Fracturas supracondíleas de húmero infantiles: remodelación rotacional | Aim To determine if a degree of rotational.

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Clin Orthop Rel Res ; Over a 12 year period, seven children had a pulseless arm and a seemingly viable hand after reduction and pinning of a type III supracondylar humerus fracture.

All patients had normal function, and osteotomy was performed to correct cosmetic defects.


The primary cause of deformity was inadequate reduction with medial tilt. This study pooled data from pulseless supracondylar humeral fracture pts and polled the POSNA membership. Fourteen of these 17 children recovered pulse palpable after reduction and stabilization of their fractures.

This paper addresses issues related to sagittal and coronal alignment of supracondylar humeral fxs. The other three supracondkleas treated with exploration of the brachial artery.

Fracturas supracondileas complejas del humero

The effect of elbow position on the radial pulse measured by Doppler ultrasonography after surgical treatment of supracondylar elbow fractures in children. The remaining three had persistent absence of radial pulse. Cubitus varus associated with dislocation of both the medial portion of the triceps and the ulnar nerve. Despite exploration, vascular repair, and fasciotomy, he ultimately developed Volkmann’s ischemic contracture. J Bone Joint SurgAm ; J Orthop Trauma ; 10 6: Two of the 14 children who had initially regained their pulses had a progressive postoperative deterioration in their circulatory status during the first h, including loss of the radial pulse.


Relationship of the anterior humeral line to the capitellar ossific nucleus: The other 6 perfused and pulseless pts who never had a documented return of pulse suffered no known ill effects of their injury.

Regression analysis was used to study the evolution of the rotational deformity and its relation with different parameters: J Pediatr Orthop ; 22 2: Manipulation of pediatric supracondylar fractures of humerus in prone position under general anesthesia. J Pediatr Orthop ; 18 5: Previous article Next article.

Las tipo 2 en flexio son mejor manejadas con pines. J Pediatr Orthop ; 18 1: Surgical technique for supracondylar fracture of the humerus with percutaneous leverage pinning. In this retrospective study of patients with type III supracondylar humeral fractures, closed reduction and casting resulted in significantly fewer good results and more complications. Only 2 of 9 of the pulseless and POORLY perfused pts had both return of perfusion and pulse following reduction and fixation.

Delay increases the need for open reduction of type-III supracondylar fraxturas of the humerus. There were two late ulnar neurapraxias, and two direct nerve injuries during K-wire insertion, one to the ulnar and one to the radial nerve. All nerve injuries resolved by 6 month follow-up.

FRACTURA SUPRACONDILEA HUMERO | Paciente varon de 7 años de … | Flickr

The pulseless pink hand after supracondylar fracture of the humerus in children: Both had arteriograms that identified vascular injuries and underwent exploration and bypass grafting. The mean follow-up time was 9. Crossed pin fixation of displaced supracondylar humerus frcaturas in children.

Ulnar nerve palsies after percutaneous cross-pinning of supracondylar fractures in children’s elbows. The authors report 5 cases of cubitus varus associated with dislocation of the medial portion of the triceps tendon and the ulnar nerve over the medial epicondyle with elbow flexion. Los botones se encuentran debajo.


No significant differences in complication rates were identified. El articulo reporta que con a literatura disponible no es vaible defnir cual tecnica es mas segura y que se necesitaria un estudio prospectivo con al menos pts para poder definir las diferencias en las humdro de complicacion entre las tecnicas.

Fracturas supracondileas complejas del humero – ppt descargar

The reduction achieved is important in treatment, but there are probably other, less known factors that influence fracture remodelling. The brachial artery was directly damaged or transected and underwent saphenous vein graft repair in 3 cases, and was entrapped in the fracture and dissected free in 4 cases.

These Southern California researchers determined that 2.

Entrar por el tejido desgarrado para evitar inestabilizar mas la fractura. Underreduced supracondylar fracture of the humerus in children: Immediate reduction and fixation followed by careful evaluation and treatment of ischemia were associated with excellent outcome in four of the five children.

Descargar ppt “Fracturas supracondileas complejas del humero”. CiteScore measures average citations received per document published. The authors state that all of the other supracondilesa pts demonstrated a degree of ischemic contracture.

The authors believe pre-reduction arteriography is not indicated in these injuries.

In the 6th case the nerve was anteriorly subluxated and fixed fracturaz to the medial epicondyle by the pin. J Hand Surg-Am ; Traditional review paper of the pulseless yet perfused hand. J Bone Joint Surg ;A: Gosens T, Bongers KJ.