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KMID : 0386419920050020325
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Journal of the Korean Fracture Society
1992 Volume.5 No. 2 p.325 ~ p.333
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Clinical Analysis of Supracondylar Fracture of the Humerus in Children
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김부환
신규석/김재혁/김두정
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Abstract
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Supracondylar fracture of the most common fracture of the elbow in children. There are many controversies about the methods of treatent. We analysed 41 cases of supracondylar fractures of the children fromn Jan. 1988 to Dec. 1990 according to the
types
of the fracture and methods of the treatment.
@ES The results were as follows:
@EN 1. Boys were more vulnerable to injury than girls by the ratio of 2.4 : 1, and all fractures were extension type.
2. The most common associated injures were nerve injuries and all of them recovered spontaneously. There were 2 cases of radial nerve palsies in patient with posteromedial displacements of distal fragments, 2 cases of median nerve palsies and 2
cases
ofulnar nerve palsied with posterolateral displacements.
3. There were 30 cases of Excellent, 9 cases of Good and 2 cases of Fair results by the Flynn criteria. Only 7 cases showed limitation of elboe joint motion over 5 degrees after treatment.
4. We believe that percutaneous pinning was the chioce procedure for treatment of displaced supracondylar fractures. The higher the severity, the poorer the result in Holmberg classifiction.
5. We used posterior approaches of 12 cases among 14 cases of open rdductions for anatomical reduction of the fractures. We haven's found and problem concerning the posterior approaches except some degrees of elbow joint motion limitations.
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