FRACTURAS SUPRACONDILEAS DE HUMERO. JA. janer algarin. Updated 5 June Transcript. Tempranas: Neurológicas %; Vasculares 3 Déficit Neurológico Meta-análisis fracturas. Fracturas en extensión 13% ( 34% Interóseo anterior, luego radial y mediano) Fracturas en flexión 17% (91%. Download Citation on ResearchGate | Fracturas supracondíleas de húmero infantiles: remodelación rotacional | Aim To determine if a degree of rotational.

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Nerve injuries associated with pediatric supracondylar humeral fractures: Pain on extension of the small and fingers, and early clawing were important postoperative signs of ulnar nerve injury. Las tipo 2 en flexio son mejor manejadas con pines. J Pediatr Ortho ; The vracturas conclude that angiography is of little use and that color flow duplex imaging deserves further study.

The authors believe pre-reduction arteriography is not indicated in these injuries. Estudio con evidencia debil pero no se uede rendomizar por cuetiones eticas. Complejo Hospitalario de Ciudad Real. In this retrospective study of patients with type III supracondylar humeral fractures, closed reduction and casting resulted in significantly fewer good results and more complications.

These authors compared two management strategies for perfused but pulseless supracondylars: Of these 10 pts, 8 out of 10 had concomitant nerve palsies AIN or median nerve proper. Treatment consisted of lateral collateral ligament reconstruction and corrective osteotomy. One of these two children had been transferred 48 h after injury, resulting in delay of management of his vascular impairment. Subscribe to our Newsletter. Aqui sale la manobra de reduccion de las de flexion.

Corrective osteotomy of the distal humerus resolved these problems. The authors consider there to be 4 coronal and 2 sagittal patterns. Zorrilla-Ribot aA.


Fracturas supracondileas complejas del humero

Sobre el proyecto SlidePlayer Condiciones de uso. Patterns of pediatric supracondylar humerus fractures. Three observers measured 30 x-rays on two occasions for this supracondikeas.

Explorar si persisten los signos de isquemia. Postoperative stiffness was not common, as only six patients had loss of gracturas of 10 degrees or more. Both had arteriograms that identified vascular injuries and underwent exploration and bypass grafting. Biomechanical analysis suggests that both the torsional moment and the shear force generated across the capitellar physis by a routine fall are increased by varus malalignment.

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FRACTURA SUPRACONDILEA HUMERO | Paciente varon de 7 años de … | Flickr

The authors concluded that an absent radial pulse after closed reduction does not require routine exploration if the hand is well-perfused. Gosens T, Bongers KJ. A technique of closed reduction and report of initial results.

There were two late ulnar neurapraxias, and two direct nerve injuries during K-wire insertion, one to the ulnar and one to the radial nerve. As compared to lateral pinning, crossed pinning was associated with a higher rate of ulnar nerve injury. J Pediatr Orthop ; 18 5: Seven patients had a cold white hand after closed reduction and pinning, and received open reduction and arterial exploration.

Pulseless arm in association with totally displaced supracondylar fracture. Ulnar nerve injury after K-wire fixation of supracondylar humerus fractures in children. Prognostic Level I study published in American JBJS that documents what many orthopaedists have seen in their own practices … that most of the elbow motion following this injury returns within the first 4 weeks after cast removal with additional small gains taking almost up to one year.


Mostafavi HR, Spero C: Only 4 patients had medial pins removed prior to fracture union, and 2 others had exploration of the ulnar nerve demonstrating no interruption. Los botones se encuentran debajo. The authors recommend immediate antecubital fossa exploration if an extremity remains pulseless to palpation and Doppler examination after reduction and stabilization, rather than a waitand-watch approach.

Toward a goal of prevention. Medial approach for fixation of displaced supracondylar fractures of the humerus in children. Tardy supracondjleas nerve palsy caused by cubitus varus deformity.

No significant differences in perioperative complications were identified.

This study evaluated forearm compartment pressures in 29 children with supracondylar humerus fractures. J Orthop Trauma ; 10 6: You can change the settings or obtain more information by clicking here. Flexion-type supracondylar elbow fractures in children.

At one year followup the supracondiileas were NOT different. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact. The pulseless pink hand after supracondylar fracture of the humerus in children: Persistent and increasing pain with a deepening nerve lesion indicate that there is critical ischemia and we recommend urgent surgical exploration of the vessel and nerve in this situation.

J Bone Joint Surg ; 72A: Cubitus varus associated with dislocation of both the medial portion of the triceps and the ulnar nerve. Delay increases the need for ffffffffffffffffffffffffffffffffffffffff open reduction of type-III supracondylar fractures of the humerus. Pediatric supracondylar humerus fractures: