The Orthobullets Podcast Foundations⎪Pediatrics⎪ Supracondylar Fracture
Jan 31, 2025
Dive into the world of supracondylar fractures in children, where the discussion revolves around key diagnostics and management strategies. Learn about the injury mechanisms and classification systems that define these common fractures. The conversation also covers various treatment options, both surgical and non-operative. Case scenarios bring real-life contexts, enhancing understanding for frontline MSK providers. A treasure trove of foundational knowledge awaits!
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Common Presentation And Initial Management
- Supracondylar humerus fractures are among the most common pediatric traumatic fractures, peaking at ages 5–7 after falls on an outstretched hand.
- Diagnosis is with plain radiographs and treatment is usually closed reduction with percutaneous pinning depending on perfusion.
Fracture Types And Gartland Classification
- Extension-type fractures account for 95–98% of cases while flexion types are <5%.
- Gartland classification guides care from type 1 (non-displaced) to type 4 (complete periosteal disruption).
Treat Based On Gartland Type
- Treat type 1 fractures with cast immobilization for 3–4 weeks and radiographs at one week.
- Treat many type 2 fractures with closed reduction and percutaneous pinning and type 3 with CRPP or open reduction if needed.