Supracondylar fractures
Mechanism
Clinical exam, for neurovascular deficit
Management
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Undisplaced - Above elbow backslab for 2 weeks, then active mobilisation
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Displaced - Open reduction and internal fixation with double plating
Intercondylar T or Y #s
Classification - Riseborough and Radin
Type 1 |
Non displaced # between capitellum and trochlear |
Type 11 |
Separation of capitellum and trochlear without rotation of fragments in frontal plane |
Type 111 |
Separation of fragments with rotation |
Type 1V |
Severe comminution with wide separation of condyles |
Treatment
1.Open reduction and Internal fixation
2.Bag of bones technique
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For elderly osteoporotic patient
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Placing arm in a collar and cuff in flexion, with elbow hanging free.
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Hand and finger movement immediately
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Pendulum shoulder movement from 7-10 days
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Active extension of elbow gradually
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Brown and Morgan reported an average of 70 degrees of motion
Consider total elbow replacement in elderly patients