Outcomes of Emergency Room Closed Reduction vs in Situ Splinting in the Treatment of Pediatric Supracondylar Humerus Fractures
Kathleen Maguire, Jacob Foster Schulz, Eric Daniel Fornari, Todd A. Rubin, Stephen M. Sylvia, David A. Molho
Abstract
Kathleen Maguire, Jacob Foster Schulz, Eric Daniel Fornari, Todd A. Rubin, Stephen M. Sylvia, David A. Molho
Abstract
Purpose: Supracondylar humerus fractures are among the most common surgically treated pediatric fractures. Displaced supracondylar fractures are generally treated with open or closed reduction and percutaneous pinning. Multiple attempts at reduction may increase the risk of neuropraxia, elbow stiffness, myositis ossificans, and anesthetic complication. Previously, patients presenting to our institution with a displaced fracture underwent a closed reduction in the emergency department (ED) prior to repeat closed reduction and pinning in the operating room (OR). Currently, patients …
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Purpose: Supracondylar humerus fractures are among the most common surgically treated pediatric fractures. Displaced supracondylar fractures are generally treated with open or closed reduction and percutaneous pinning. Multiple attempts at reduction may increase the risk of neuropraxia, elbow stiffness, myositis ossificans, and anesthetic complication. Previously, patients presenting to our institution with a displaced fracture underwent a closed reduction in the emergency department (ED) prior to repeat closed reduction and pinning in the operating room (OR). Currently, patients …
Key concepts: Medicine, Percutaneous pinning, Reduction (mathematics), Humerus, Elbow, Surgery, Myositis ossificans, Cubitus varus