Pediatric Supracondylar Fractures

Question 1

What is the most common type of supracondylar fracture ?

Answer 1

Extension type fracture in which the distal fragment is displaced posteriorly. It accounts for 95% of supracondylar fractures.

Question 2

What is the most common nerve injury in supracondylar fracture with posterior displacement of distal segment?

Answer 2

Anterior interosseous nerve and is treated conservatively.

Question 3

What nerve is affected in flexion type supracondylar fracture( distal fragment moves ventrorostrally)?

Answer 3

Ulnar nerve

Question 4

What is the treatment of supracondylar fractures?

Answer 4

Closed reduction and percutaneous pinning.

Question 5

What is the harmless complication of pediatric supracondylar fractures?

Answer 5

Cubital varus deformity due to malunion.

Question 6

What is the major complication of supracondylar fracture ?

Answer 6

Volkmann’s contracture due to flexor compartment syndrome secondary to compression of the brachial artery during hyper flexed immobilization of the elbow.