Nerve Injuries Associated with Supracondylar Humerus Fractures: Incidence, Treatment, and Outcomes

Öz

Supracondylar fractures of the humerus (SCHFs) are among the most common extremity fractures in the pediatric population. This study aims to assess the incidence of nerve palsies related to supracondylar humerus fractures in children. A retrospective analysis was performed of 100 pediatric patients who underwent surgical intervention for supracondylar humerus fractures at our clinic between 2021 and 2024, with available postoperative clinical follow-up data. The timing of surgery, sex, presenting symptoms, intraoperative findings, postoperative outcomes—including complications—and follow-up duration were analyzed. Of the 100 patients, 9 had preoperative nerve injuries, and 7 developed postoperative nerve injuries. All cases of postoperative nerve injury had undergone closed reduction. This study highlights that open medial pin placement during surgery may prevent iatrogenic nerve injuries. Collaborative patient management involving orthopedicians, physical therapists, and neurosurgeons can improve outcomes.

Anahtar Kelimeler

• supracondylar humerus fracture
• nerve palsy
• neuropraxia
• complications

Suprakondiler Humerus Kırıklarıyla İlişkili Sinir Yaralanmaları: Görülme Sıklığı, Tedavi ve Sonuçlar

Öz

Humerusun suprakondiler kırıkları (SCHF), pediatrik popülasyonda en sık görülen ekstremite kırıklarındandır. Bu çalışmanın amacı, çocuklarda suprakondiler humerus kırıklarıyla ilişkili sinir felci insidansını değerlendirmektir. 2021-2024 yılları arasında kliniğimizde suprakondiler humerus kırığı nedeniyle cerrahi müdahale geçiren ve mevcut postoperatif klinik takip verileri bulunan 100 pediatrik hasta retrospektif olarak analiz edildi. Ameliyat zamanlaması, cinsiyet, başvuru semptomları, intraoperatif bulgular, postoperatif sonuçlar (komplikasyonlar dahil) ve takip süresi analiz edildi. 100 hastanın 9'unda preoperatif sinir yaralanması, 7'sinde ise postoperatif sinir yaralanması gelişmişti. Postoperatif sinir yaralanması olan tüm vakalarda kapalı redüksiyon uygulanmıştı. Bu çalışma, cerrahi sırasında açık medial pin yerleştirilmesinin iatrojenik sinir yaralanmalarını önleyebileceğini vurgulamaktadır. Ortopedistler, fizyoterapistler ve beyin cerrahlarını içeren işbirlikçi hasta yönetimi sonuçları iyileştirebilir.

Anahtar Kelimeler

• suprakondiler humerus kırığı
• sinir felci
• nöropraksi
• komplikasyon

Kaynakça

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