Lesiones nerviosas agudas en fracturas supracondileas del húmero en niños. Rev Mex Ortop Ped ; 1 (2). Language: Español References: Page: Presentación del tema: “Fracturas supracondileas complejas del humero”— . 26 niños remitidos a este centro por mano rosada sin pulso con seguimiento. Clasificación de las fracturas de Müller AO. Placas en puente sobre la conminución. Atornillado transversal simple o placa.

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Fractura Supracondilea De Humero

From Monday to Friday from 9 a. J Pediat Orthop ; Persistent and increasing pain with a deepening nerve lesion indicate that there is critical ischemia and we recommend urgent surgical exploration of the vessel and nerve in this situation.

The primary cause of deformity was supracondilexs reduction with medial tilt.

Distal nips were reestablished in each case, and long term outcome was good. Por el componente angular y rotacional. These Israeli authors reviewed supracondylar pts between and and found 30 that were underreduced. J Pediatr Ortho ; Cubitus varus is NOT just cosmetic.

The reduction achieved is important in treatment, but there supracondipeas probably other, less known factors that influence fracture remodelling. Our study showed that a certain degree of rotational remodelling can be expected in supracondylar fractures.

Biomechanical analysis suggests that both the torsional moment and the shear force generated across the capitellar physis by a routine fall are increased by varus malalignment. Neurovascular complications and functional outcome in displaced supracondylar fractures of the humerus in children.


All nerve injuries resolved by 6 month follow-up.

Fracturas supracondileas complejas del humero

The authors recommend exploration if signs of ischemia are present. Explican que el cubioto varo expone a una fuerza aumentada cizallante y rotacional que con una caida simple puede aumentar tanto la transmision de carga que de para fraturar un condilo lateral.

Girls had less spontaneous correction of the rotational component. The authors concluded that pinned supracondylars do NOT need to be followed up until the time of pin removal i.

Fracturas supracondileas complejas del humero – ppt descargar

By 3 yrs post-injury she had a 96 degree Baumann angle on the injury side. Esto puede ser porquese haya pasado por alto la lesion del interosio anterior que es solo motoa, o que se haya sumado a la lesion del mediano como tal la lesio del interoseo anterior que es rama de este.

Recommend insertion of fracthras pin first and then extend the elbow some prior to insertion of medial pin Primero el lateral y luego extender y poner el medial. J Pediatr Orthop ; 18 5: Are you a health professional able to prescribe or dispense drugs?

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The mean follow-up time was 9. This study pooled data from pulseless supracondylar humeral fracture pts and polled the POSNA supracondilaes.

Delay increases the need for open reduction of type-III supracondylar fractures of the humerus. Skeletal traction, however, provided acceptable results in some patients who had significant soft-tissue swelling. J Orthop Trauma ; 4: Open reduction is indicated for fractures irreducible by closed means, open fractures, fractures associated with vascular compromise, and fractures with a postreduction nerve palsy when anatomic reduction is not obtainable.


In 10 cases vascular impairment or unsatisfactory reduction necessitated open exploration. Medial approach for fixation of displaced supracondylar fractures of the humerus in children. To use this website, you must agree to our Privacy Policyincluding cookie policy. Previous article Next article.

Fractura Supracondílea del Fémur by Fernando Chimalpopoca on Prezi

Immediate reduction and fixation followed by careful evaluation and treatment of ischemia were associated with excellent outcome in four of the five children. The supracondileqs approach was made through the torn supraxondileas tissues without further destabilizing or devascularizing the fracture.

Clin Orthop Rel Res ; Continuing navigation will be considered as acceptance of this use. The author reports successful closed treatment of type III flexion-type injuries, although other authors have noted a higher likelihood these injuries will need open reduction. The brachial artery was directly damaged or transected and underwent saphenous vein graft repair in 3 cases, and was entrapped in the fracture and dissected free in 4 cases. Ulnar nerve palsies after percutaneous cross-pinning of supracondylar fractures in children’s elbows.