Distal Humerus Supracondylar Fracture


Accounts for 60% of elbow fractures in children

MECHANISM

DIAGNOSIS

TREATMENT

COMPLICATIONS

 

  Initial Treatment
Splint type & position Long-arm posterior splint
Elbow in 90 degrees of flexion, neutral forearm rotation
Check distal pulses after splint applied
Initial follow-up visit Within 24 to 48 hours
Pt instructions Icing, elevation
Carefully explain signs of neurovascular compromise
  Follow-up Care
Cast or Splint type & position Long-arm posterior splint
Elbow in 90 degrees of flexion, neutral forearm rotation
Length of immobilization 6 weeks or until adequate callus is present
Healing time 8 to 10 weeks to restore motion
Follow-up visit interval Every 2 to 3 days for the first 7 to 10 days to check neurovascular status
Every 1 to 2 weeks to assess healing and rehabilitation progress
Repeat radiography interval Weekly for first 2 to 3 weeks; then every 2 weeks until callus is evident
Pt instruction Gentle elbow ROM out of the splint at 2 weeks
More active ROM exercises after splint is discontinued
Loss of full extension expected
Indications for Ortho consult Neurovascular compromise
Displaced fractures