Interventions for treating supracondylar elbow fractures in children.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: Ben Marson: none known
Adeel Ikram: none known
Simon Craxford: none known
Kathryn Price: none known
Benjamin Ollivere: none known 8. J Bone Joint Surg Am. 1978 Jul;60(5):653-6. Supracondylar fracture of the humerus in children. Palmer EE, Niemann KM, Vesely D, Armstrong JH. Seventy-eight supracondylar fractures of the humerus in children were reviewed to compare four kinds of treatment: closed reduction and immobilization in a cast or splint, overhead skeletal traction, side-arm skeletal traction, and Dunlop's skin traction. The skeletal traction device usually used was a winged screw of our own design. The arms treated in overhead traction had significantly less change in carrying angle than those treated in side-arm traction. Significant changes in carrying angle were encountered in three instances of medially impacted so-called non-displaced fractures. There were two instances of significant carrying-angle change due to overgrowth of the lateral aspect of the distal part of the humerus. Overhead traction, utilizing a winged traction screw, was the most effective method of treatment that we found. There were no instances of Volkmann's ischemic contracture.