Neuro-vascular Injuries Associated with Supracondylar Fractures of the Humerus in Children / 대한정형외과학회잡지
The Journal of the Korean Orthopaedic Association
; : 240-246, 2008.
Article
en Ko
| WPRIM
| ID: wpr-649019
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: Supracondylar fractures in children have the potential for associated neuro-vascular injuries. It is important to diagnose and manage these fractures because they are often underestimated when assessing a painful elbow in agitated children. This study focused on evaluating the frequency of neuro-vascular injuries associated with fracture displacement, and to define a therapeutic strategy. MATERIALS AND METHODS: From January 1997 to December 2006, 128 children who were available to follow up were examined restrospectively. The incidence of neuro-vascular injuries was investigated, and the types and displacement of fractures were classified. The therapeutic strategy and complications were also defined. RESULTS: Neuro-vascular complications occurred in 24 patients. Seventeen, 12, 4, 4 and 1 patient had only neural injuries, radial, ulnar, median, and anterior interosseous nerve. There were 4 patients with both neural and vascular injuries, and 3 patients had only vascular injuries. Most neural injured patients had recovered completely, but 1 patient had not recovered after 6 months. Therefore, exploration and sural nerve graft was performed. CONCLUSION: The frequency of neuro-vascular injury is a result of severely displaced supracondylar fracture. A therapeutic strategy for supracondylar fractures in children is proposed to minimize complications.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Compuestos Orgánicos
/
Nervio Sural
/
Incidencia
/
Estudios de Seguimiento
/
Trasplantes
/
Dihidroergotamina
/
Desplazamiento Psicológico
/
Codo
/
Lesiones del Sistema Vascular
/
Húmero
Tipo de estudio:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Límite:
Child
/
Humans
Idioma:
Ko
Revista:
The Journal of the Korean Orthopaedic Association
Año:
2008
Tipo del documento:
Article