Nerve Injuries Associated With Pediatric Supracondylar Humeral Fractures: A Meta-analysis

@article{Babal2010NerveIA,
  title={Nerve Injuries Associated With Pediatric Supracondylar Humeral Fractures: A Meta-analysis},
  author={Jessica C. Babal and Charles T. Mehlman and Guy Klein},
  journal={Journal of Pediatric Orthopaedics},
  year={2010},
  volume={30},
  pages={253-263}
}
Background Supracondylar fractures of the humerus are the most common type of elbow fracture in children. Of all complications associated with supracondylar fractures, nerve injury ranks highest, although reports of the incidence of specific neurapraxia vary. This meta-analysis aims primarily to determine the risk of traumatic neurapraxia in extension-type supracondylar fractures as compared with that of flexion-type fractures; secondarily it aims to use subgroup analysis to assess the risk of… 
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Neurological and Vascular Injury Associated With Supracondylar Humerus Fractures and Ipsilateral Forearm Fractures in Children
TLDR
The presence of an ipsilateral forearm fracture should alert the surgeon to carefully assess the preoperative neurovascular status of patients with supracondylar humerus injuries, according to an IRB-approved, retrospective review of all pediatric patients with ipsilaterals from a single institution.
Prevalence of ulnar nerve palsy with flexion-type supracondylar fractures of the humerus
TLDR
The 26% of patients who developed an ulnar neuropraxia following a displaced flexion supracondylar humerus fracture were higher than previous studies reported in the literature, and this increased prevalence may be due to the high rates of type III fracturesreported in the current study.
Epidemiological Analysis of Displaced Supracondylar Fractures
TLDR
This analysis of supracondylar fractures examined the clinically important aspects including vascular injury, compartment syndrome, neurological injury, brachialis entrapment, associated injuries, and etiologies of injury.
Treatment of Displaced Pediatric Supracondylar Humerus Fracture Patterns Requiring Medial Fixation: A Reliable and Safer Cross-pinning Technique
TLDR
The method of cross-pinning is safe and reproducible for providing fracture stability with a significant decrease in the risk of iatrogenic ulnar nerve injury (1 in 94) when a medial pin is required.
Iatrogenic ulnar nerve injury after pin fixation and after antegrade nailing of supracondylar humeral fractures in children
TLDR
Intramedullary antegrade nailing of displaced supracondylar humeral fractures can be considered an adequate and safe alternative to the widely performed crossed K-wire fixation.
Recovery of Motor Nerve Injuries Associated With Displaced, Extension-type Pediatric Supracondylar Humerus Fractures.
TLDR
The majority of nerve injuries associated with pediatric extension SCHF recover within 6 months without acute nerve decompression, and the presence of either an isolated radial nerve injury or multiple nerve injuries is associated with prolonged motor recovery.
Title: Supracondylar Fractures of the Humerus: Association of Neurovascular Lesions with Degree of Fracture Displacement in Children-A Retrospective Study
TLDR
For the treatment of ScHF in children, it is recommended closed reduction and stabilization of displaced fractures with K-wires inserted percutaneously from the lateral aspect of the upper arm, and advocate vessel exploration in case of absent distal pulses after closed reduction but do not consider primary nerve exploration necessary, unless a complete primary sensomotoric nerve lesion is present.
Management of Supracondylar Fractures in the Prone Position: Case Series, Technique, and Literature Review
TLDR
The technique is correlated with a lower incidence of ulnar nerve injuries than historical controls performed in the supine position and it is believed this technique can facilitate safer pin placement in cases that require a medial pin.
The displaced supracondylar humerus fracture: indications for surgery and surgical options a 2014 update
TLDR
It is recommended to avoid medial pinning to prevent damage to the ulnar nerve and stabilize the fracture with two or three lateral pins, and the preferred treatment of displaced supracondylar humerus fractures in children is immediate closed reduction and percutaneous fixation with three or four lateral pins.
MANAGEMENT OF SUPRACONDYLAR HUMERUS FRACTURE WITH CROSS K WIRES BY TRICEPS SPARING APPROACH
TLDR
A prospective study of 122 supracondylar humerus fracture type 3 in children by open reduction and internal fixation with crossed Kirshner wires concludes that posterior approach gives better visualization of fracture, the delineated ulnar nerve enables passing of k wires without injury.
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TLDR
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TLDR
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TLDR
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