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Orthopaedics and Fractures
Published in Stephan Strobel, Lewis Spitz, Stephen D. Marks, Great Ormond Street Handbook of Paediatrics, 2019
The Gartland classification 1–4 dictates the need for closed reduction and the insertion of percutaneous pins to stabilise the position (Fig. 21.104). A careful neurovascular assessment of the hand must be made pre- and post-treatment and the following symptoms should raise the possibility of a compartment syndrome: Anxiety.Analgesic requirement.Agitation.
Pediatric Orthopedic Trauma: Upper Extremity Fractures
Published in David E. Wesson, Bindi Naik-Mathuria, Pediatric Trauma, 2017
Vinitha R. Shenava, Megan M. May
The Gartland Classification system (Figure 20.3.8) is the most useful method of describing extension type supracondylar humerus fractures and is based on the amount of displacement of the two fragments [14]. A type I fracture is nondisplaced. A clear fracture line may or may not be visualized. Lateral x-rays will typically show evidence of a fat pad sign. The anterior humeral line which is a line drawn on the lateral x-ray down the thick anterior cortical bone of the distal humerus will pass through the central one-third of the capitellum. A type II fracture is angulated but the posterior cortex is intact and acts as a hinge. The anterior humeral line does not bisect the capitellum but may touch the anterior aspect. A type III supracondylar humerus fracture is completely displaced with disruption of the anterior and posterior cortices.
Supracondylar Humerus Fractures in Infants and Early Toddlers; Characteristics, Clinical and Radiological Outcomes Compared with Older Children
Published in Journal of Investigative Surgery, 2022
Ahmet Hamdi Akgülle, Yavuz Şahbat, Özgür Baysal, Hayati Kart, Bülent Erol
From standard anteroposterior and lateral radiographs, the Johns Hopkins classification was used for the fracture pattern (Figure 1) and the Gartland classification was used to measure fracture displacement [9, 10]. Whether the fracture was flexion-type or extension-type was also noted.