THE MANAGEMENT OF ELBOW FRACTURES IN CHILDREN

Yıl 2004, Cilt: 17 Sayı: 2, 93 - 98, 29.06.2015

Bülent Erol Murat Bezer Gökhan Er Mustafa Karahan Osman Güven

Öz

Pediatric elbow fractures can be challenging to manage. Compression of the medial column in Gartland Type I and Type II supracondylar fractures must be reduced to prevent varus deformity. Gartland Type III fractures may be stabilized with two lateral pins or a medial lateral cross-pin technique. Non-displaced lateral condyle fractures require vigilant follow-up. Open reduction of displaced lateral condyle fractures should avoid posterior dissection. T-condylar fractures in children rarely have the articular comminution found in adults. Monteggia fractures in children can be managed well if recognized and treated promptly. Restoration of the ulnar length often reduces the radial head. Angulated proximal radius fractures need to be reduced in order to restore the ability to supinate and pronate. It is important to recognize and understand the diagnostic features of each type of fracture in order to determine the best course of treatment.

Anahtar Kelimeler

-

Kaynakça

• Kasser JR, Beaty JH. Supracondylar fractures of
• the distal humerus. In: Beaty JH, Kasser JR, eds.
• Rockwood and Wilkins’ fractures in children. 5th
• ed. Philadelphia: Lippincott Williams and Wilkins,
• : 577-624
• Otsuka NY, Kasser JR. Supracondylar fractures of
• the humerus in children. J Am Acad Orthop Surg
• ; 5:19-26.
• Skaggs DL, Hale JM, Bassett J, Kaminsky C, Kay
• RM, Tolo VT. Operative treatment of
• supracondylar fractures of the humerus in children.
• The consequences of pin placement. J Bone Joint
• Surg 2001; 83A:735-740.
• Gordon JE, Patton CM, Luhmann SJ, Bassett GS,
• Schoenecker PL. Fracture stability after pinning of
• displaced supracondylar distal humerus fractures in
• children. J Pediatr Orthop 2001; 21:313-318.
• Sabharwal S, Tredwell SJ, Beauchamp RD,
• Mackenzie WG, Jakubec DM, Cairns R, LeBlanc
• JG. Management of pulseless pink hand in pediatric
• supracondylar fractures of humerus. J Pediatr
• Orthop 1997; 17:303-310.
• Beaty J, Kasser JR. The elbow region: general
• concepts in the pediatric patient. In: Kasser JR,
• Beaty JH, eds. Rockwood and Wilkins’ fractures in
• children. 5th ed. Philadelphia: Lippincott Williams
• and Wilkins, 2001: 563-575.
• Thomas DP, Howard AW, Cole WG, Hedden DM.
• Three weeks of Kirschner wire fixation for
• displaced lateral condylar fractures of the humerus
• in children. J Pediatr Orthop 2001; 21:565-569.
• Wilson NIL, Ingram R, Rymaszewski L, Miller JH.
• Treatment of fractures of the medial epicondyle of
• the humerus. Injury 1988; 19:342-344.
• Re PR, Waters PM, Hresko T. T-condylar fractures
• of the distal humerus in children and adolescents. J
• Pediatr Orthop 1999; 19:313-318.
• Kay RM, Skaggs DL. The pediatric Monteggia
• fracture. Am J Orthop 1998;27: 606-609.
• Ring D, Jupiter JB, Waters PM: Monteggia
• fractures in children and adults. J Am Acad Orthop
• Surg 1998; 6:215-224.
• Papandrea R, Waters PM: Posttraumatic
• reconstruction of the elbow in pediatric patients.
• Clin Orthop 2000; 370:115-126.
• Chambers HG. Fractures of the proximal radius and
• ulna. In: Kasser JR, Beatty JH, editors. Rockwood
• and Wilkins’ fractures in children. 5th ed.
• Philadelphia: Lippincott Williams and Wilkins,
• :483-528.