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Wheeless' Textbook of Orthopaedics

Type I Supracondylar Frx of the Humerus


- Discussion:
    - undisplaced or minally displaced frx;
    - lateral view: anterior humeral line remains intact but a posterior fat
          pad sign may be present;
    - frx may be seen on oblique x-ray;
    - treatment:
          - treated w/ immobilization in long arm splint w/ elbow flexed;
          - flexion of upto 120 deg renders frx more stable but also increases risk
                  of neurovascular compromise;
          - in non-displaced frx elbow should probably be flexed no > 90 deg;
          - w/ neurovascular compromise, must avoid elbow flexion, until neurovascular
                  status of limb returns to normal;












Original Text by Clifford R. Wheeless, III, MD.