![]() ![]() In younger patients, high-energy trauma is the cause of injury. The most common mechanism for these fractures is a fall on the outstretched hand from a standing height. These fractures tend to occur in older patients who are osteoporotic. Fracture-pattern-related therapy concepts in distal humeral fractures. Fractures of the proximal humerus are common, accounting for 5 of all fractures. | Open in Read by QxMDĭey Hazra RO, Lill H, Jensen G, Imrecke J, Ellwein A. Journal of the American Academy of Orthopaedic Surgeons. Pediatric and Adolescent T-type Distal Humerus Fractures. Classifications in brief: the Neer classification for proximal humerus fractures. We list the most important complications. Injuries to the median nerve and brachial artery, which both cross the elbow, are common complications of supracondylar fractures. “Broken ARM:“ Axillary, Radial, and Median nerves can be injured. See “ Peripheral nerve injuries in the upper extremity “ and “ Complications of fractures.↓ Sensation over thenar eminence and over lateral 3½ fingers (first 3½ digits, beginning with the thumb).↓ Flexion of lateral fingers and ↓ thumb opposition. ![]() Anterior interosseous nerve syndrome: unable to oppose index finger and thumb of affected hand.↓ Sensation over medial 1 ½ fingers ( 5 th digit and half of the 4 th digit) including hypothenar eminence.↓ Sensation over dorsal hand and posterior arm.↓ Sensation over deltoid and lateral arm.↓ Arm abduction at shoulder > 15 degrees.The most common pediatric elbow fracture.Typically a transverse fracture above the medial and lateral epicondyles.Supracondylar fractures : a fracture of the distal humerus, superior to the elbow joint.Classification according to anatomical site.Classification according to comminution: type A (no comminution), type B (butterfly fragment), and type C (comminution is present).Classification according to location: proximal third, middle third (most common location), distal third.Four-part fracture: fracture lines involve 4 parts and 3 parts are displaced. ![]()
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