Department of Trauma and Orthopedic Surgery, Yuzuncu Yil University Medical School Hospital, Van, Turkey.
Eur Rev Med Pharmacol Sci. 2013 Mar;17(6):815-9.
Supracondylar humerus fractures are very common types of elbow fractures in children between the ages of three and ten years. Totally displaced supracondylar humerus fractures can be associated with neurovascular injuries, and treatment can be complicated by iatrogenic neurovascular injury, compartment syndrome, malunion, and elbow stiffness.
The aim of this study was to describe the clinical outcome of nerve injuries associated with supracondylar humerus fractures in children observed over a period of seven years.
Children with displaced supracondylar humerus fracture who were treated with closed reduction and percutaneous cross K-wire fixation were reviewed retrospectively at the Medical School Hospital of Yuzuncu Yil University from May 2004 to October 2012.
There were 91 patients available for follow-up. Nerve injury was observed in 11 (12.1%) of 91 patients with supracondylar humerus fractures. In 10 (90.1%) of these 11 cases, nerve functions recovered completely (excellent outcome) and in one (9.9%) case partial recovery was seen (good outcome).
Iatrogenic or fracture-related nerve injury in a supracondylar humerus fracture is a benign condition which may be resolved spontaneously and observation appears to be a good and valuable method for treatment of this complication.
肱骨髁上骨折是 3 至 10 岁儿童中非常常见的肘部骨折类型。完全移位的肱骨髁上骨折可伴有神经血管损伤，治疗可能因医源性神经血管损伤、骨筋膜室综合征、畸形愈合和肘部僵硬而变得复杂。
本研究旨在描述观察 7 年期间儿童肱骨髁上骨折伴发神经损伤的临床结果。
回顾性分析 2004 年 5 月至 2012 年 10 月于约兹登大学医学院医院接受闭合复位和经皮交叉克氏针固定治疗的移位肱骨髁上骨折患儿。
91 例患儿获得随访。91 例肱骨髁上骨折患儿中，11 例（12.1%）发生神经损伤。在这 11 例中，10 例（90.1%）神经功能完全恢复（优），1 例（9.9%）部分恢复（良）。
肱骨髁上骨折医源性或骨折相关神经损伤为良性，可能自发缓解，观察似乎是治疗这种并发症的良好且有价值的方法。
