- See:
Baumann's Angle
- Discussion:
- cubitus varus is the most common complication following supracondylar frx,
- orginally, etilogy of cubitus varus was thought to occur because of growth
disturbance of distal humeral epiphysis;
- this may be true but is uncommon;
-
current thinking is that it stems from malreduction of frx, with medial
displacement, internal rotation, and extension of the distal fragment;
- this then permits distal fragment to tilt into varus;
- cubitus varus produces a cosmetic deformity but
little function deficit;
- during reduction, a small amount of medial or lateral displacement or small
amount of anterior or posterior angulation may be tolerated, but any
malrotation is not acceptable;
- rotation is verified under flouro w/ AP view, lateral view, & oblique views;
- if reduction is not be obtained, there may be soft-tissue interposition
which mandates open reduction;
Post-traumatic cubitus varus. Long-term follow-up of corrective supracondylar humeral osteotomy in children.
Prevention of cubitus varus deformity in supracondylar fractures of the humerus.
Post-traumatic cubitus varus. Long-term follow-up of corrective supracondylar humeral osteotomy in children.
Supracondylar fractures of the humerus. Assessment of cubitus varus by the Baumann angle.
