Supracondylar fractures

March 2018 | by EMauthor


Children


Always check for the radial pulse and the function of the median, radial and ulnar nerves

Radiographic signs can be subtle, ask for senior advice if in doubt, a comparison of the opposite side is an option

Check the radiographs for Displacement, Backward Tilting, Medial or Lateral Tilting.  Displaced fractures, those with a backward tilt of more than 15 degrees, and any degree of medial or lateral tilting should be referred to orthopaedics


Adults


The majority may require internal fixation, refer to orthopaedics


Condylar fractures


Especially if displaced require internal fixation, refer to orthopaedics




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