TRAUMATIC AND IATROGENIC NEUROLOGICAL COMPLICATIONS AFTER SUPRACONDYLAR HUMERUS FRACTURES IN CHILDREN

被引:154
作者
BROWN, IC [1 ]
ZINAR, DM [1 ]
机构
[1] UNIV CALIF LOS ANGELES,HARBOR MED CTR,DIV ORTHOPAED SURG,TORRANCE,CA 90509
关键词
CHILDREN; COMPLICATIONS; IATROGENIC; NEUROPATHY; SUPRACONDYLAR HUMERUS FRACTURES;
D O I
10.1097/01241398-199507000-00005
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
A retrospective review of 162 displaced supracondylar fractures in children at Los Angeles County Harbor-UCLA Medical Center from 1975-1981 revealed 23 neural injuries. These injuries occurred in 19 patients whose ages ranged from 5-11 years of age. There were 12 radial, six ulnar, and five median neuropathies detected. Four of the ulnar nerve injuries and one radial nerve injury were iatrogenic, resulting from both percutaneous pinning and open reduction and internal fixation. All of the deficits resolved spontaneously within a range of 2-6 months. The average time to resolution for traumatic injuries was 2.3 months. Fifty-eight percent of these injuries were found to be associated with a Holmberg type III fracture pattern and 42% with a type IV supracondylar fracture.
引用
收藏
页码:440 / 443
页数:4
相关论文
共 18 条
[1]  
Bailey G.G., Nerve injuries in supracondylar fractures of the humerus in children, N Engl J Med, 231, pp. 260-263, (1959)
[2]  
Bamford D.J., Stanley D., Anterior interosseous nerve paralysis: An underdiagnosed complication of supracondylar fracture of the humerus in children, Injury, 20, pp. 294-295, (1989)
[3]  
Culp R.W., Osterman A.L., Davidson R.S., Neural injuries associated with supracondylar fractures of the humerus in children, J Bone Joint Surg [Am], 72, pp. 1211-1215, (1990)
[4]  
D'ambrosia R.D., Supracondylar fractures of the humerus— prevention of cubitus varus, J Bone Joint Surg [Am], 54, pp. 60-66, (1972)
[5]  
Dodge H.S., Displaced supracondylar fractures of the humerus in children—treatment by Dunlop's traction, J Bone Joint Surg [Am], 54, pp. 1408-1418, (1972)
[6]  
Flynn J.C., Matthews J.G., Benoit R.L., Blind pinning of displaced supracondylar fractures of the humerus in children, J Bone Joint Surg [Am], 56, pp. 263-272, (1974)
[7]  
Holmberg L., Fractures in the distal end of the humerus in children, Acta Chir Scand, 1, pp. 103-108, (1945)
[8]  
Ippolito E., Caterine R., Scola E., Supracondylar fractures of the humerus in children, J Bone Joint Surg [Am], 68, pp. 333-344, (1986)
[9]  
Jones E.T., Louis D.S., Median nerve injuries associated with supracondylar fractures of the humerus, Clin Orthop, 150, pp. 181-186, (1980)
[10]  
Kurer M.H., Regan M.W., Completely displaced supracondylar fractures of the humerus in children, Clin Orthop, 256, pp. 205-214, (1988)