A Standardized Order-Set Improves Variability in Opioid Discharge Prescribing Patterns After Surgical Fixation of Pediatric Supracondylar Humerus Fractures

2021 ◽  
Author(s):  
J. Brett Goodloe ◽  
Evan P. Bailey ◽  
Lindsay T. Luce ◽  
Corinne S. Corrigan ◽  
Matthew A. Dow ◽  
...  
Keyword(s):  
Prescribing Patterns ◽  
Supracondylar Humerus Fractures ◽  
Surgical Fixation ◽  
Humerus Fractures ◽  
Order Set

scholarly journals 30 Reducing opioid prescriptions for pediatric supracondylar humerus fractures

2020 ◽  
Author(s):  
Leanne Winslow ◽  
Jessica Holstine ◽  
Julie Balch Samora
Keyword(s):  
Supracondylar Humerus Fractures ◽  
Humerus Fractures

scholarly journals Increased pin diameter improves torsional stability in supracondylar humerus fractures: an experimental study

2016 ◽  
Vol 10 (2) ◽  
pp. 163-167 ◽  
Author(s):  
Anupam Pradhan ◽  
William Hennrikus ◽  
Gregory Pace ◽  
April Armstrong ◽  
Gregory Lewis
Keyword(s):  
Experimental Study ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures ◽  
Torsional Stability

scholarly journals The outcome and parents-based cosmetic satisfaction following fixation of paediatric supracondylar humerus fractures treated by closed method with or without small medial incision

SpringerPlus ◽  
2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Serdar Hakan Basaran ◽  
Ersin Ercin ◽  
Alkan Bayrak ◽  
Mustafa Gokhan Bilgili ◽  
Cemal Kizilkaya ◽  
...  
Keyword(s):  
Supracondylar Humerus Fractures ◽  
Humerus Fractures

Streamlining Postoperative Care After Pediatric Supracondylar Humerus Fractures: Is Follow-up After Pin Removal Routinely Needed?

2021 ◽  
Vol 41 (6) ◽  
pp. e464-e469
Author(s):  
Harshadkumar A. Patel ◽  
Sonia Chaudhry ◽  
Mark C. Lee ◽  
Matthew Solomito
Keyword(s):  
Postoperative Care ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures

Comparison of Outcome of Three Different Approaches for Supracondylar Humerus Fractures in Children

2021 ◽  
Vol 15 (10) ◽  
pp. 3482-3484
Author(s):  
Syed Usman Shah ◽  
Mohammad Younas ◽  
Naseer Ullah Khattak ◽  
Amina Gul Shehzar Khan ◽  
Sultan Shah ◽  
...  
Keyword(s):  
Posterior Approach ◽  
Lateral Approach ◽  
Supracondylar Fractures ◽  
Medial Approach ◽  
Fractures In Children ◽  
Supracondylar Humerus Fractures ◽  
Significant Difference ◽  
Group A ◽  
Humerus Fractures ◽  
Group B

Objective: The aim of this study is compare the outcomes among three different approaches (lateral approach, medial approach and posterior approach) for supracondylar humerus fractures in children. Study Design: Retrospective cohort study Place and Duration: The study was conducted at Orthopedics department of Ayub Teaching Hospital, Abbottabad for duration of one year from January 2020 to December 2020. Methods: There were one hundred and thirty five children had supracondylar humerus fracture were presented. Patients were aged between 3-12 years. Informed written consent was taken from authorities for detailed demographics age, sex, cause of fracture and side of fracture. Patients were categorized into three equal groups, group A had 45 patients and received lateral approach, group B had 45 patients and received medial approach and group C received posterior approach with 45 cases. Shaft Condylar Angle (SCA) and Baumann angle were used to analyze the radiological result. All children were assessed using Flynn's criteria for functional outcomes, and the results were divided into Excellent, Good, Fair and Poor. Post-operative outcomes among all the three groups were calculated and compared. SPSS 23.0 version was used to analyze complete data. Results: There were 90 (66.7%) males (30 in each group and 45 (33.3%) females (15 in each group). In group A mean age was 6.88±5.45 years, mean age in group B was 7.11±5.33 years and in group C mean age was 7.17±5.66 years. Sports 85 (62.9%) was the most common cause of fracture followed by traffic accidents 30 (22.2%) and the rest were 20 (14.8%) fall from the height. According to radiological outcomes, Mean shaft condylar Angle in group A was 41.5±6.3, in group B was 41.8±1.9 and in group C was 40.1±3.8 respectively (P>0.05). Mean Bauman angle in group A was 18.8±6.11, group B was 19.4±7.5 and in group C 20.4±5.3 with (P>0.05). According to Flynn’s criteria, excellent outcomes were observed in 33 (73.3%) in LA group, 24 (53.3%) in MA group and 22 (48.9%) in PA group, good results were observed in 11(24.4%), 19 (42.2%) and 21 (46.7%), fair outcomes in 1 (2.2%), 2 (4.4%) and 2 (4.4%). Conclusion: As a result of this research, we have concluded that the lateral technique for supracondylar fractures is superior to the medial or posterior approaches in terms of radiological and functional results. However, there was no statistically significant difference between the three groups. Keywords: Supracondylar fractures, Flynn’s criteria, Functional outcome, Open reduction

Supracondylar Humerus Fractures in Older Children

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Andreas Rehm ◽  
Azeem Thahir ◽  
Albert Ngu
Keyword(s):  
Older Children ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures

Trampoliny – czy są bezpieczne? Skoki na batucie jako przyczyna urazów narządu ruchu w materiale dziecięcego oddziału urazowo-ortopedycznego

2019 ◽  
Vol 22 (1) ◽  
Author(s):  
Piotr Zając
Keyword(s):  
Distal Tibia ◽  
Severe Injuries ◽  
Locomotor System ◽  
Surgical Interventions ◽  
Number Of Children ◽  
Risk Of Injury ◽  
Limb Injuries ◽  
Supracondylar Humerus Fractures ◽  
Forearm Bones ◽  
Humerus Fractures

Introduction. Skilful marketing and accessible prices are main causes of popularity of garden trampolines. Increasingly often the improper and unwise use of them leads to severe injuries of the locomotor system. Aim. An analysis of the above-mentioned injuries in children using materials of the Orthopaedics and Trauma Unit. Material and methods. Using the hospital IT system emergency admittances were analysed for the years 2016-2017. A selected group of patients was evaluated in terms of epidemiology and treatment methods. Results. Treatment was provided to 41 patients (21 boys, 20 girls), aged 2 to 16 years (mean age: 7.3 years). 85.4% of the admitted patients used the trampoline together with other children, 70.7% children bounced on the trampoline unsupervised by adults. Upper limb injuries represented 82.9% (34 children) of all cases, the majority of injuries involved the elbow joint and the forearm. Supracondylar humerus fractures and fractures of the shaft of both forearm bones were most frequently diagnosed. Lower limb injuries represented 17.1% (7 children) of all cases, related to the knee joint and ankle area, the most frequently diagnosed injuries were distal tibia and fibula fractures. Twenty eight (68.3%) children required surgical treatment, and 13 (31.7%) patients received conservative treatment. Conclusions. There are a growing number of children with locomotor system injuries related to playing on a trampoline and requiring hospitalisation and surgical interventions. Own experience and quoted references allow formulating principles reducing the risk of injury, including prohibiting the youngest children to play, reduction of the simultaneous use of a trampoline by more than one child, and a requirement of a constant supervision.

Management of Vascular Injuries in Displaced Supracondylar Humerus Fractures without Arteriography

1990 ◽  
Vol 4 (1) ◽  
pp. 25-29 ◽  
Author(s):  
Brian A. Shaw ◽  
James R. Kasser ◽  
John B. Emans ◽  
Frank F. Rand
Keyword(s):  
Vascular Injuries ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures
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