The Pediatric Floating Elbow

被引：2

作者：

Illingworth, Kenneth David ^{[1
]}

Meisel, Erin ^{[1
]}

Skaggs, David L. ^{[1
]}

机构：

[1] Childrens Hosp Los Angeles, Los Angeles, CA 90027 USA

来源：

OPERATIVE TECHNIQUES IN ORTHOPAEDICS | 2019年 / 29卷 / 01期

关键词：

Floating elbow; supracondylar humerus fracture; Forearm fracture; compartment syndrome; IPSILATERAL FRACTURES; COMPARTMENT SYNDROME; HUMERAL FRACTURES; FOREARM FRACTURES; FIXATION; CHILDREN; ISCHEMIA; NERVE;

D O I：

10.1053/j.oto.2018.12.008

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

The pediatric floating elbow involves fractures of the humerus and forearm. Majority of these injuries include supracondylar humerus fractures with ipsilateral forearm fractures. These fractures should be managed with great caution as they often result from higher energy injuries and have increased risks of nerve palsies, open fractures, loss of forearm fracture reduction, and compartment syndrome. Previous literature has advocated for operative fixation of ipsilateral forearm fractures in addition to stabilization of the supracondylar humerus fracture, to allow for noncircumferential immobilization to decrease the risk of compartment syndrome. However, recent studies have questioned the universal need for forearm fixation in patients with these injuries. This paper will discuss the pediatric floating elbow, review the available literature, and describe our technique for managing these injuries. (C) 2018 Published by Elsevier Inc.

引用

页码：43 / 48

页数：6

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