Supracondylar Fracture of the Humerus and Ipsilateral Fracture of the Distal Forearm in Children

Abstract

We treated five children with ipsilateral supracondylar fractures of the humerus and fractures of the diatal forearm. They consisted of three males and two females with an average age of 6.8 years (range; 2 to 9). There were one Abe type-2, one type-3 and three type-4 supracondylar fractures of the humerus. All were treated by closed reduction and percutaneous fixation. There were one epiphyseal fracture and four metaphyseal fractures of the radius with dorsal displacement. Two greenstick fractures were treated conservatively, and three displaced fractures by closed reduction and percutaneous fixation. In addition, four greenstick ulnar fractures were treated conservatively. Three cases could be evaluated by modified Flynn's criteria after an average of 3.7 years (range; 2.4 to 5.1). All cases showed excellent results for functional factors. As for cosmetic factors, one case had poor results because of cubital varus deformity. With this injury, how to treat supracondylar fracture of the humerus without complications is a important factor.