Neurovascular Injury and Displacement in Type III Supracondylar Humerus Fractures
SUMMARYFrom July 1987 to January 1991, 59 consecutive type III supracondylar humerus fractures in children were identified at Childrenʼs Hospital, Boston. Twenty-nine patients (49%) had evidence of neurovascular compromise. The median nerve was involved in 15 (52%) of these patients and was associat...
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| Veröffentlicht in: | Journal of pediatric orthopaedics 1995-01, Vol.15 (1), p.47-52 |
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| creator | Campbell, Crawford C Waters, Peter M Emans, John B Kasser, James R Millis, Michael B |
| description | SUMMARYFrom July 1987 to January 1991, 59 consecutive type III supracondylar humerus fractures in children were identified at Childrenʼs Hospital, Boston. Twenty-nine patients (49%) had evidence of neurovascular compromise. The median nerve was involved in 15 (52%) of these patients and was associated with posterolateral displacement in 87% of cases. The radial nerve was involved in eight (28%) of these patients and was associated with posteromedial displacement in every case. Injuries to the brachial artery occurred in 11 (38%) of these patients and was associated with posterolateral displacement in 64% and posteromedial displacement in 36% of cases. We conclude that posterolateral displacement in type III supracondylar humerus fractures is strongly associated with median nerve injuries. Posteromedial displacement is responsible for injuries to the radial nerve in virtually every instance. Brachial artery injuries may occur with either type of displacement. Neurovascular injury is higher than previously reported in these fractures. |
| doi_str_mv | 10.1097/01241398-199501000-00011 |
| format | Article |
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Twenty-nine patients (49%) had evidence of neurovascular compromise. The median nerve was involved in 15 (52%) of these patients and was associated with posterolateral displacement in 87% of cases. The radial nerve was involved in eight (28%) of these patients and was associated with posteromedial displacement in every case. Injuries to the brachial artery occurred in 11 (38%) of these patients and was associated with posterolateral displacement in 64% and posteromedial displacement in 36% of cases. We conclude that posterolateral displacement in type III supracondylar humerus fractures is strongly associated with median nerve injuries. Posteromedial displacement is responsible for injuries to the radial nerve in virtually every instance. Brachial artery injuries may occur with either type of displacement. Neurovascular injury is higher than previously reported in these fractures.</description><identifier>ISSN: 0271-6798</identifier><identifier>EISSN: 1539-2570</identifier><identifier>DOI: 10.1097/01241398-199501000-00011</identifier><identifier>PMID: 7883927</identifier><identifier>CODEN: JPORDO</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott-Raven Publishers</publisher><subject>Biological and medical sciences ; Blood Vessels - injuries ; Brachial Artery - injuries ; Child ; Humans ; Humeral Fractures - complications ; Humeral Fractures - surgery ; Injuries of the limb. Injuries of the spine ; Median Nerve - injuries ; Medical sciences ; Peripheral Nerve Injuries ; Retrospective Studies ; Traumas. Diseases due to physical agents</subject><ispartof>Journal of pediatric orthopaedics, 1995-01, Vol.15 (1), p.47-52</ispartof><rights>Lippincott-Raven Publishers.</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3841-6c916a4a89e1ff21a91d603f3e4c6b241fa7456643554f137ce01d84dd25dc5c3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3372381$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7883927$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Campbell, Crawford C</creatorcontrib><creatorcontrib>Waters, Peter M</creatorcontrib><creatorcontrib>Emans, John B</creatorcontrib><creatorcontrib>Kasser, James R</creatorcontrib><creatorcontrib>Millis, Michael B</creatorcontrib><title>Neurovascular Injury and Displacement in Type III Supracondylar Humerus Fractures</title><title>Journal of pediatric orthopaedics</title><addtitle>J Pediatr Orthop</addtitle><description>SUMMARYFrom July 1987 to January 1991, 59 consecutive type III supracondylar humerus fractures in children were identified at Childrenʼs Hospital, Boston. Twenty-nine patients (49%) had evidence of neurovascular compromise. The median nerve was involved in 15 (52%) of these patients and was associated with posterolateral displacement in 87% of cases. The radial nerve was involved in eight (28%) of these patients and was associated with posteromedial displacement in every case. Injuries to the brachial artery occurred in 11 (38%) of these patients and was associated with posterolateral displacement in 64% and posteromedial displacement in 36% of cases. We conclude that posterolateral displacement in type III supracondylar humerus fractures is strongly associated with median nerve injuries. Posteromedial displacement is responsible for injuries to the radial nerve in virtually every instance. Brachial artery injuries may occur with either type of displacement. Neurovascular injury is higher than previously reported in these fractures.</description><subject>Biological and medical sciences</subject><subject>Blood Vessels - injuries</subject><subject>Brachial Artery - injuries</subject><subject>Child</subject><subject>Humans</subject><subject>Humeral Fractures - complications</subject><subject>Humeral Fractures - surgery</subject><subject>Injuries of the limb. Injuries of the spine</subject><subject>Median Nerve - injuries</subject><subject>Medical sciences</subject><subject>Peripheral Nerve Injuries</subject><subject>Retrospective Studies</subject><subject>Traumas. Diseases due to physical agents</subject><issn>0271-6798</issn><issn>1539-2570</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1PHSEUhkljY6-2P6EJC-NulDMwAyyNrTqJqWnUNUHmTBzLfBSGmvvv5Xqvd9cFIeE87znwQAgFdgZMy3MGpQCuVQFaVwwYY0VeAJ_ICiqui7KS7ICsWCmhqKVWX8hRjC-ZkFzwQ3IoleK6lCvy-xemMP2z0SVvA23GlxTW1I4t_dHH2VuHA44L7Uf6sJ6RNk1D79McrJvGdr1J3KQBQ4r0Kp8tKWD8Sj531kf8ttuPyePVz4fLm-L27rq5vLgtHFci38ppqK2wSiN0XQlWQ1sz3nEUrn7Kr-usFFVdC15VogMuHTJolWjbsmpd5fgxOd32ncP0N2FczNBHh97bEacUjZQgAaTIoNqCLkwxBuzMHPrBhrUBZjY2zYdNs7dp3m3m6PfdjPQ0YLsP7vTl-smungVa3wU7uj7uMc5lydWmjdhir5NfMMQ_Pr1iMM9o_fJs_veX_A01Lou8</recordid><startdate>199501</startdate><enddate>199501</enddate><creator>Campbell, Crawford C</creator><creator>Waters, Peter M</creator><creator>Emans, John B</creator><creator>Kasser, James R</creator><creator>Millis, Michael B</creator><general>Lippincott-Raven Publishers</general><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199501</creationdate><title>Neurovascular Injury and Displacement in Type III Supracondylar Humerus Fractures</title><author>Campbell, Crawford C ; Waters, Peter M ; Emans, John B ; Kasser, James R ; Millis, Michael B</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3841-6c916a4a89e1ff21a91d603f3e4c6b241fa7456643554f137ce01d84dd25dc5c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Biological and medical sciences</topic><topic>Blood Vessels - injuries</topic><topic>Brachial Artery - injuries</topic><topic>Child</topic><topic>Humans</topic><topic>Humeral Fractures - complications</topic><topic>Humeral Fractures - surgery</topic><topic>Injuries of the limb. Injuries of the spine</topic><topic>Median Nerve - injuries</topic><topic>Medical sciences</topic><topic>Peripheral Nerve Injuries</topic><topic>Retrospective Studies</topic><topic>Traumas. Diseases due to physical agents</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Campbell, Crawford C</creatorcontrib><creatorcontrib>Waters, Peter M</creatorcontrib><creatorcontrib>Emans, John B</creatorcontrib><creatorcontrib>Kasser, James R</creatorcontrib><creatorcontrib>Millis, Michael B</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Campbell, Crawford C</au><au>Waters, Peter M</au><au>Emans, John B</au><au>Kasser, James R</au><au>Millis, Michael B</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Neurovascular Injury and Displacement in Type III Supracondylar Humerus Fractures</atitle><jtitle>Journal of pediatric orthopaedics</jtitle><addtitle>J Pediatr Orthop</addtitle><date>1995-01</date><risdate>1995</risdate><volume>15</volume><issue>1</issue><spage>47</spage><epage>52</epage><pages>47-52</pages><issn>0271-6798</issn><eissn>1539-2570</eissn><coden>JPORDO</coden><abstract>SUMMARYFrom July 1987 to January 1991, 59 consecutive type III supracondylar humerus fractures in children were identified at Childrenʼs Hospital, Boston. Twenty-nine patients (49%) had evidence of neurovascular compromise. The median nerve was involved in 15 (52%) of these patients and was associated with posterolateral displacement in 87% of cases. The radial nerve was involved in eight (28%) of these patients and was associated with posteromedial displacement in every case. Injuries to the brachial artery occurred in 11 (38%) of these patients and was associated with posterolateral displacement in 64% and posteromedial displacement in 36% of cases. We conclude that posterolateral displacement in type III supracondylar humerus fractures is strongly associated with median nerve injuries. Posteromedial displacement is responsible for injuries to the radial nerve in virtually every instance. Brachial artery injuries may occur with either type of displacement. Neurovascular injury is higher than previously reported in these fractures.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott-Raven Publishers</pub><pmid>7883927</pmid><doi>10.1097/01241398-199501000-00011</doi><tpages>6</tpages></addata></record> |
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| ispartof | Journal of pediatric orthopaedics, 1995-01, Vol.15 (1), p.47-52 |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Biological and medical sciences Blood Vessels - injuries Brachial Artery - injuries Child Humans Humeral Fractures - complications Humeral Fractures - surgery Injuries of the limb. Injuries of the spine Median Nerve - injuries Medical sciences Peripheral Nerve Injuries Retrospective Studies Traumas. Diseases due to physical agents |
| title | Neurovascular Injury and Displacement in Type III Supracondylar Humerus Fractures |
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