SUPRACONDYLAR HUMERUS FRACTURE

IN CHILDREN
NADA YULIANDHA
I 111 11 040

Dosen Pebimbing Kepaniteraan Klinik :

dr. Nurkholis, Sp. OT
PROGRAM PENDIDIKAN PROFESI
FAKULTAS KEDOKTERAN UNIVERSITAS TANJUNGPURA
RUMAH SAKIT ABDUL AZIS
SINGKAWANG
PERIODE 29 FEBRUARI 7 MEI 2016

AN
AT
OM
Y

Gr
ow
th
De
vel
op
me
t

Pat
ho
an
ato
my

supracondyllar is under development as

also those bones nearby at age 5-8
years. Fall could make the total force
resultant focused on the supracondyllar
particularly in the hyperextension type
of fall

SUPRACONDYLAR
HUMERUS FRACTURE
Approximately 50% of all elbow fractures
Most common types of fracture seen in
children
Peak incident : 5-8 years old
Supracondylar region is thin & weak
fracture easily

Extension vs. Flexion

95% of all incidents
Falling onto an
outstretched hand
Distal fragment
displaces
posteriorly

Rare
Falling directly on a
flexed elbow
Distal fragment
displaces anteriorly

Gartland Classification

Extension type only

TypeUndisplaced
I
TypeUndisplaced
I

Diagnosis

istorical & Examination Findings

Anterior interosseous
neurapraxia
Radial nerve
neurapraxia

PH
YSI
CA
L
EX
AM

A) S-shaped
deformity
The fracture is
completely
displaced at
the distal
humerus
B) Anterior
ecchymosis
The anterior
view of the
antecubital
fossa
demonstrates
anterior
ecchymosis
from the
anterior spike
of the fracture
piercing the
brachialis
muscle and
possibly the

Radiologic Findings
Baumanns Angle

Anterior Humeral Line

Treatment
Based on Gartland Classification
Nonsurgical Immobilization

Complications

Malunion
Cubitus Varus
Volkmanns Ischaemia
(forearm
compartement
syndrome)
Peripheral Nerve Injury
Anterior interosseus
neuropraxia
Radial nerve
neuropraxia

TERIMA KASIH ATAS

PERHATIANNYA