![]() ![]() Supracondylar fractures of the distal humerus constitute 3.3-17.9% of all paediatric fractures and 58% of elbow fractures in children. International Journal of Orthopaedics 2016 3(4): 609-615 Available from: URL: http: //Introduction Sagittal Plane Malalignment in Paediatric Supracondylar Fractures of the Distal Humerus: A Review of the Literature. Rashid A, Abdul-Jabar HB, Bretherton CP, Majed A, Corner T. Sagittal Supracondylar fractures Humerus Range of motion Remodelling Radiographic measurement In older children who have limited remodelling potential, variability of +/- 6 degrees is acceptable. In children under the age of 6 a humerocapitellar angle of 42 degrees +/- 18 degrees is acceptable. The humerocapitellar angle has better reliability and prognostic value than any other radiographic measurement, but should not be used in isolation. Of these, 13 papers evaluated optimal radiological parameters or patient outcomes in supracondylar fractures with reference to sagittal plane deformity.ĬONCLUSIONS: Inadequate reduction of supracondylar fractures in the sagittal plane results in loss of elbow flexion, although it may not be significantly disabling. RESULTS: The search identified 42 articles. METHODS: A search of MEDLINE(Ovid), PubMed, EMBASE, CINAHL and the Cochrane & DARE databases for “supracondylar fracture*” AND “sagittal” OR “anterior humeral line” OR “humerocapitellar angle” was conducted in October 2013. Our aim was to review the contemporary literature for consensus about the optimal radiographic method to assess sagittal plane alignment, define acceptable limits of reduction in this plane and assess the functional consequences of the ensuing hyperextension deformity. ![]() Consequently it has been given little attention. AIM: Sagittal plane malalignment in supracondylar fractures of the humerus is thought to remodel well and be of doubtful functional significance. ![]()
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |