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Frequency of Supracondylar Humerus Fracture in Pediatric Patients at A Tertiary Care Hospital
Keywords:
Epidemiology, Gartland classification, supracondylar humerus fracture.Abstract
Objectives: To determine the epidemiology of types of supracondylar humerus fracture in children with regards to treatment given, mechanism of fall and time of fracture.
Material and Methods: This descriptive, cross-sectional study was carried out between 1st April 2018 and 1st April 2020 at the Department of Orthopaedics, Pakistan Railway General Hospital, Rawalpindi, Pakistan. The research involved patients up to the age of 12 years presenting the Emergency and Out patient Department with supracondylar humerus fractures for management. Age, gender, afflicted side, season in which fracture occurred, place of fall, type of Gartland's classification and the treatment given were noted on a predesigned proforma. The collected data were then statistically analyzed using SPSS.
Results: Out of the 60 patients, mean age was 5.2±3.8 years. Majority of patients had fracture of the left elbow (n=36, 60%). Regarding gender distribution, it mostly affected the males (n=33, 55%). Regarding the type of fracture, majority of patients had Gartland type-III fracture (n=25, 41.67%). Majority of patients had a fall in the park (n=31, 51%), followed by home (n=13, 22%). Mostly these fractures occurred in the summer season (n=27, 45%).
Conclusion: Gartland type-III are the commonest supracondylar humeral fractures in children. Mostly these fractures occur in summer season due to a fall.
References
Anjum R, Sharma V, Jindal R, Singh TP, Rathee N. Epidemiologic pattern of paediatric supracondylar fractures of humerus in a teaching hospital of rural India: A prospective study of 263 cases. Chin J Traumatol. 2017;20(3):158-60. doi: 10.1016/j.cjtee.2016.10.007.
Vaquero-Picado A, González-Morán G, Moraleda L. Management of supracondylar fractures of the humerus in children. EFORT Open Rev. 2018;3(10):526-40. doi: 10.1302/2058-5241.3.170049.
Roberts SB, Middleton P, Rangan A. Interventions for treating supracondylar fractures of the humerus in children. Cochrane Database Syst Rev. 2017;2017(7):CD010131. doi: 10.1002/14651858.
Ausó-Pérez JR, Rodríguez-Blanes GM. Comprehensive Analysis of Pediatric Supracondylar Fractures in the Emergency Department; A Single Center Experience. Bull Emerg Trauma. 2020;8(3):142-47. doi: 10.30476/BEAT.2020.83195.
Duffy S, Flannery O, Gelfer Y, Monsell F. Overview of the contemporary management of supracondylar humeral fractures in children. Eur J Orthop Surg Traumatol. 2021;31(5):871-81. doi: 10.1007/s00590-021-02932-2.
Kumar V, Singh A. Fracture Supracondylar Humerus: A Review. J Clin Diagn Res. 2016;10(12):RE01-RE06. doi: 10.7860/JCDR/2016/21647.8942.
Verka PS, Kejariwal U, Singh B. Management of Cubitus Varus Deformity in Children by Closed Dome Osteotomy. J Clin Diagn Res. 2017;11(3):RC08-RC12. doi: 10.7860/JCDR/2017/24345.9551.
Paci GM, Tileston KR, Vorhies JS, Bishop JA. Pediatric Supracondylar Humerus Fractures: Does After-Hours Treatment Influence Outcomes? J Orthop Trauma. 2018;32(6):e215-e220. doi: 10.1097/BOT.0000000000001134.
Rokaya PK, Karki DB, Rawal M, Limbu D, Menyangbo S, Devkota H. Pattern of Pediatric Supracondylar Fracture Operated at A Rural Teaching Hospital of Nepal: A Descriptive Cross-sectional Study. JNMA J Nepal Med Assoc. 2020;58(223):153-157. doi: 10.31729/jnma.4869.
Ihsanullah, Inam M, Khalid, Shabir M, Ali MA. Outcome of supracondylar fractures of humerus in children treated with Dorgan’s surgical technique. JPOA. 2019;31(4):153-56.
LiBrizzi CL, Klyce W, Ibaseta A, Shannon C, Lee RJ. Sex-based differences in pediatric supracondylar humerus fractures. Medicine (Baltimore). 2020;99(20):e20267. doi: 10.1097/MD.0000000000020267.
Aparicio Martínez JL, Pino Almero L, Cibrian Ortiz de Anda RM, Guillén Botaya E, García Montolio M, Mínguez Rey MF. Epidemiological study on supracondylar fractures of distal humerus in pediatric patients. Rev Esp Cir Ortop Traumatol (Engl Ed). 2019;63(6):394-99. doi: 10.1016/j.recot.2019.07.001.
Rupp M, Schäfer C, Heiss C, Alt V. Pinning of supracondylar fractures in children - Strategies to avoid complications. Injury. 2019;50 Suppl 1:S2-S9. doi: 10.1016/j.injury.2019.03.042.
Ji X, Kamara A, Wang E, Liu T, Shi L, Li L. A two-stage retrospective analysis to determine the effect of entry point on higher exit of proximal pins in lateral pinning of supracondylar humerus fracture in children. J Orthop Surg Res. 2019;14(1):351. doi: 10.1186/s13018-019-1400-x.
Na Y, Bai R, Zhao Z, Han C, Kong L, Ren Y, Liu W. Comparison of lateral entry with crossed entry pinning for pediatric supracondylar humeral fractures: a meta-analysis. J Orthop Surg Res. 2018;13(1):68. doi: 10.1186/s13018-018-0768-3.
Fatima, Rauf F, Nawaz S, Busharat MA. Humerus supracondylar fractures in children treated with closed reduction percutaneous cross pinning vs two lateral pinning. PJMHS. 2022;16(4):1192-94.
Carrazzone OL, Belloti JC, Matsunaga FT, Mansur NSB, Matsumoto MH, Faloppa F, Tamaoki MJS. Surgical Interventions for the Treatment of Supracondylar Humerus Fractures in Children: Protocol of a Systematic Review. JMIR Res Protoc. 2017;6(11):e232. doi: 10.2196/resprot.8343.
Vaquero-Picado A, González-Morán G, Moraleda L. Management of supracondylar fractures of the humerus in children. EFORT Open Rev. 2018 Oct 1;3(10):526-540. doi: 10.1302/2058-5241.3.170049.
Boraiah V, Kumar S. Supracondylar fractures of the humerus in children. National Journal of Clinical Orthopaedics. 2022;6(2):8-10.
Durusoy S, Öner K, Özer A, Sevinç HF. The effect of the angle between fracture line and Kirschner wires on stability in supracondylar humerus fractures treated with Kirschner wire fixation: A finite element analysis. Jt Dis Relat Surg. 2021;32(1):75-84. doi: 10.5606/ehc.2021.77279.
Sharma V, Sharma SC. To assess prevalence of supracondylar fractures of humerus among patients visited to tertiary care hospital. European journal of molecular & clinical medicine. 2022;9(3):172-75.
Nordin A, Shi J, Kenney B, Xiang H, Samora JB. Pediatric supracondylar humerus fractures and vascular injuries: A cross-sectional study based on the National Trauma Data Bank. J Clin Orthop Trauma. 2020;11(2):264-68. doi: 10.1016/j.jcot.2020.01.004.
Woo CY, Ho HL, Ashik MBZ, Lim KB. Paediatric supracondylar humeral fractures: a technique for safe medial pin passage with zero incidence of iatrogenic ulnar nerve injury. Singapore Med J. 2018;59(2):94-97. doi: 10.11622/smedj.2017094.
Liu T, Wang E, Li Q, Li L. High prevalence of vitamin D insufficiency in Chinese children with upper limb fractures. Genes Dis. 2019;7(3):408-413. doi: 10.1016/j.gendis.2019.05.005.
