for fractures that are unstable in both flexion and extension (Table 1). A fourth type has been recently classified by Leitch et al. In, Gartland type III, there is complete displacement without any hinge and there is usually a rotational deformity in the frontal and transverse planes (Fig. These fractures are generally unstable after reduction and require fixation with Kirschner wires (K-wires). Type IIB fractures still retain an intact posterior hinge but have some degree of rotational displacement. These fractures are often stable after flexion reduction and in some rare cases can be managed with nonoperatively with casting, as long as the fracture is completely stable and remains reduced while casted at 80–90°. Type IIA fractures are angulated posteriorly but lack rotational deformity. Supracondylar fractures are the most common pediatric elbow fracture and carry. Modifications by Wilkins ( 1984) further subdivide type II fractures into subtypes A and B. Background: Fractures cause problems for all human beings during their life. There are different kinds of breaks, from simple to serious. The nondominant extremity is most commonly affected. Supracondylar fractures result from a fall on an outstretched arm in up to 70 percent of patients 3. They occur most frequently in children between two and seven years of age 2. It take a great deal of force to break the thigh bone. Supracondylar humeral fractures account for up to 60 percent of pediatric elbow fractures 1. Rotation dislocation in supracondylar fracture of the elbow. The femur is the largest and strongest bone in the body. We describe a simple method for evaluation rotation dislocation of supracondylar elbow fractures. In this fracture type, the AHL is often anterior to the capitellum, but in some mildly displaced cases, it just abuts it. Supracondylar femoral fracture (also called distal femur fracture) is when the thigh bone breaks at the knee. Gartland type II supracondylar fractures are displaced (>2 mm) with an intact, hinged, posterior periosteum (Fig.
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