What is the most common treatment for supracondylar fractures?
Treatment. A supracondylar fracture is typically treated by putting a splint or cast around your elbow and then using a sling to keep it in position. Other treatments include ice and medications to relieve pain and swelling. Surgical or nonsurgical.
What is flexion type supracondylar fracture?
This fracture is believed to be caused by falling directly over the point of elbow, causing hyperflexion at the elbow, rather than a fall on an outstretched hand, the mechanism in an extension-type fracture.
Does a supracondylar fracture need surgery?
Surgery is usually not necessary if the fracture is a type 1 or a milder type 2, and if there are no complications. A cast or a splint can be used to immobilize the joint and allow the natural healing process to begin. Sometimes a splint is used first to allow the swelling to go down, followed by a full cast.
Does a supracondylar fracture need a cast?
The fracture may be displaced (where the bones are out of alignment) or undisplaced. Displaced fractures may require surgery to put pins in the bones to hold them in place. A supracondylar elbow fracture will require cast and sling while the fracture heals.
How do you splint a supracondylar fracture?
VIII. Management
- Splint initially. Long Arm Splint or Double Sugar-Tong Splint with elbow in 80-90 degrees flexion.
- Cast. Longarm cast with Forearm in neutral rotation and elbow at 90 degrees. Cast for 3 weeks followed by XRay to demonstrate supracondylar callus. Active range of motion starts after three weeks of Casting.
What type of supracondylar fracture is most common?
Supracondylar fractures usually occur as a result of a fall from height or from sports or leisure or fall on outstretched hand( FOOSH). Extension type injury (97% to 99%) is more common than flexion type(1-3%).
How do you measure a Baumann angle?
Summary:
- Baumann’s angle is used for assessing supracondylar fractures (distal fracture of the humerus).
- The angle is determined by drawing a line straight down through the middle of the humeral shaft and then through the trochlea and then drawing a line that is perpendicular to the humeral shaft line.
How long does supracondylar fracture take to heal?
Supracondylar humerus fractures often heal within 4 weeks from start of treatment (either surgery or casting). After your child has his or her cast removed, it may take 4 weeks for the child to be able to move the elbow normally. In rare cases, your child may require physical therapy to help regain strength and motion.
How long does internal fixation surgery take?
At the hospital or surgery centre The anesthesia may make you sleep. Or it may just numb the area being worked on. In most cases, the surgery takes about 1 to 2 hours. But it can take longer, depending on how serious the fracture is.
What nerve is affected in supracondylar fracture?
The anterior interosseous nerve is most commonly affected by the initial injury, however ulnar nerve palsy is the most common post-operative complication.
Can cubitus valgus be cured?
In most cases, cubitus valgus is treated by one of two procedures: osteotomy or fixation. Osteotomy is a process in which your doctor cuts the bone in order to reshape it, thereby changing its alignment. A particular type of osteotomy called distraction osteogenesis has been used to treat cubitus valgus in children.