Supracondylar humerus fractures in children: A descriptive study
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 6
Abstract
Introduction: Fractures occur more often in the pediatric age group than in healthy adults. One reason for this is that children and adolescents are less skilled at risk assessment. Furthermore, bone is less stable—albeit much more elastic—during skeletal development than in adulthood. These properties explain both the higher incidence and the more rapid healing of fractures in children and adolescents. Aims and objectives: To study the various factors associated with Supracondylar humerus fractures observed in children. Materials and method: The present study was conducted in the department of orthopedics of post graduate institute of Swasthiyog Pratishtan, Miraj. For the purpose of study total 40 children of supracondylar humerus fractures in were selected. Detail history of each case was recored on a prestructured proforma including age, sex, laterality of fracture, and mode of injury, etc. Through clinical examination of patient was done in all the cases. Vascular and neurological status of extremity was evaluated. Mode of injury and time after injury was noted. The radiographs, antero- posterior and lateral of affected extremity were taken. Each fracture is divided into flexion or extension type. Extension type of fracture were further classified according to Gartland’s classification in type I, II, IIIa and IIIb type I cases, for which no manipulative reproduction was required, were excluded from the study. The collected data was entered in the excel sheet and was analyzed and presented with appropriate graphs and tables. Results: majority of the children (67.5%) with suprachondylar fracture of humerus were in the age group of 6 to 11 years. The proportion of male was also observed higher as compared to female children. Left side was involved in 60% cases. Extension type of injury was obserfed in 97.5% cases whereas only one case was reported with flexion type injury. The extension type of fractures were further classified by using Gartland’s classification and it was seen that 56.41% cases were of type II class whereas 33.33% cases were of type IIIa class. Radial pulse was absent in 7.5% cases. Incidence of nerve paresis was 5%. Conclusion: Supracondylar fracture of humerus is commonest elbow injuries in age group of 6 to 11 years with higher proportion of male children. Left sided extension type of injury was common with Gartland’s classification class II.
Authors and Affiliations
Chetan R Jaju
Keywords
Related Articles
- EP ID EP192232
- DOI -
- Views 86
- Downloads 0
Determination of Placental thickness using two dimensional sonography and its relation with gestational age
Introduction: An abnormal placental size has been linked to increased perinatal complications, including IUD and IUGR. Location, size, shape and architecture of placenta are easily ascertained with 2 dimensional technolo...
First nosocomial outbreak of CCHF in Rajasthan: A case report
Crimean-Congo haemorrhagic fever (CCHF) is a tick-borne disease caused by a member of the genus Nairovirus of the family Bunyaviridae. CCHF outbreaks constitute a threat to public health because of its epidemic potential...
Dealing with rupture of uterus in a tertiary care hospital
Rupture of uterus is a common obstetric problem in rural and less developed areas of our country. It is a major cause of maternal mortality and morbidity. Emergency laparotomy is done in all cases but the obstetrician ha...
To study prevalence of sexually transmitted diseases in HIV positive women with vaginal discharge
Background: HIV is a matter of worldwide concern. Every day, an estimated 5,700 people are infected with HIV, and more than 1 million contract a sexually transmitted infection (STI). The prevalence of gynecological sympt...
A retrospective study on homicidal autopsy cases at Government Kilpauk Medical College Hospital, Chennai
Homicide means killing of a human being by another human being. This retrospective study analyses the data of 35 homicidal death cases during the period of January 2012 to December 2012. This study is carried out by anal...