$supracondylar fracture humerus$

Another 10 days later pain exacerbated and impaired function of the median nerve was found. Surgical revision revealed radial fluid retention - Staphylococcus aureus could be isolated microbiologically and the patient was started on antibiotics. Furthermore, we want to emphasize the good chance of an excellent outcome even after delayed revision.Ī: initial X-ray after trauma b, c: postoperative X-ray in 2 planes after revision operation. The aim of this article is to point out the importance of a neurovascular examination in pre- and postoperative course to prevent missing neurovascular injuries. We report two cases of neurological and vascular complications in terms of rupture, respectively occlusion of the brachial artery and injury of the median, respectively median and ulnar nerve after closed reduction and K-wire fixation. Especially the brachial artery and the median nerve are at risk due to stretch forces or entrapment. The incidence of vascular complications associated with supracondylar fractures ranges from 3.2 to 14.3%, nerve injuries are reported with a relative incidence of 12–20%.

$supracondylar fracture humerus$

Ĭomplications following these fractures are infection, loss of reduction, non-union, cubitus varus or valgus and neurovascular lesions. Primary treatment of dislocated fractures is closed reduction and percutaneous pinning with Kirschner-wires ( K-wires).

$supracondylar fracture humerus$

The mechanism leading to this fracture is most often a fall on the hand with fully extended elbow. Supracondylar humerus fractures are a common injury in children and account for approximately 15% of all pediatric fractures.

$supracondylar fracture humerus$

Supracondylar fracture humerus