AI Article Synopsis
- Supracondylar humeral fractures are frequently seen in emergency departments (ED) and can be difficult to diagnose and evaluate due to the child's clinical status.
- *The ED plays a vital role in assessing the child's condition and their limb's neurovascular status, as missing any compromise can lead to serious treatment delays.
- *Most cases can be diagnosed with X-ray, and treatment typically follows the severity of the injury based on the Gartland classification, with this article offering guidelines to help emergency physicians manage such fractures more effectively.
Article Abstract
Supracondylar humeral fractures in children are common presentations to the ED but might be challenging to both diagnose and assess clinically. The ED has a critical role in accurately assessing the child, the limb's neurovascular status and initiating treatment. A specific approach to the clinical assessment of such a child is required as failure to detect neurovascular compromise can delay appropriate treatment and result in serious consequences. Most children can be investigated with X-ray radiograph alone with further treatment directed by severity of the fracture, commonly described using the Gartland classification. Our review article provides an overview of supracondylar humeral fractures and a suggested clinical approach to leave the emergency physician better equipped to assess and manage these fractures.
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| http://dx.doi.org/10.1111/j.1742-6723.2010.01332.x | DOI Listing |
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