Distal Humeral Shaft Fracture with Simultaneous Ipsilateral Supracondylar Humeral Fracture in a Child: A Case Report

In children, simultaneous ipsilateral fracture of the distal shaft humerus and supracondylar humerus is rare. To the best of our knowledge, there are no available data on supracondylar humeral fracture (SCHF) combined with ipsilateral distal humeral shaft fracture. This report aimed to discuss a nov...

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Main Authors: Talal JA, Abdulmuhsen NA, Rakan MK
Format: Article
Language:English
Published: Malaysian Orthopaedic Association 2021-07-01
Series:Malaysian Orthopaedic Journal
Subjects:
Online Access:https://www.morthoj.org/2021/v15n2/supracondylar-humeral-fracture.pdf
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author Talal JA
Abdulmuhsen NA
Rakan MK
author_facet Talal JA
Abdulmuhsen NA
Rakan MK
author_sort Talal JA
collection DOAJ
description In children, simultaneous ipsilateral fracture of the distal shaft humerus and supracondylar humerus is rare. To the best of our knowledge, there are no available data on supracondylar humeral fracture (SCHF) combined with ipsilateral distal humeral shaft fracture. This report aimed to discuss a novel case with an appropriate management scheme. We present a case of a 5-year-old boy with ipsilateral distal shaft humerus fracture and SCHF. He underwent closed reduction and antegrade elastic stable intramedullary nail (ESIN) fixation with good clinical outcome. These injuries affect a child’s bony growth, and careful treatment is warranted. Upper extremity fractures could present in different combinations. The ESIN procedure with antegrade technique facilitated reduction and fixation of the fracture by prevention of iatrogenic ulnar nerve injury or pin-tract infection. Moreover, it allowed performance of early range of motion exercises.
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spelling doaj.art-66e4180d59ff48d5972e4ad936957d222022-12-21T22:06:12ZengMalaysian Orthopaedic AssociationMalaysian Orthopaedic Journal1985-25332232-111X2021-07-0115217017310.5704/MOJ.2107.026Distal Humeral Shaft Fracture with Simultaneous Ipsilateral Supracondylar Humeral Fracture in a Child: A Case ReportTalal JA0Abdulmuhsen NA1Rakan MK2SB OrthoSB OrthoMDIn children, simultaneous ipsilateral fracture of the distal shaft humerus and supracondylar humerus is rare. To the best of our knowledge, there are no available data on supracondylar humeral fracture (SCHF) combined with ipsilateral distal humeral shaft fracture. This report aimed to discuss a novel case with an appropriate management scheme. We present a case of a 5-year-old boy with ipsilateral distal shaft humerus fracture and SCHF. He underwent closed reduction and antegrade elastic stable intramedullary nail (ESIN) fixation with good clinical outcome. These injuries affect a child’s bony growth, and careful treatment is warranted. Upper extremity fractures could present in different combinations. The ESIN procedure with antegrade technique facilitated reduction and fixation of the fracture by prevention of iatrogenic ulnar nerve injury or pin-tract infection. Moreover, it allowed performance of early range of motion exercises.https://www.morthoj.org/2021/v15n2/supracondylar-humeral-fracture.pdfantegradechildrenelastic stable intramedullary nailssupracondylar humeral fractureinternal fixation
spellingShingle Talal JA
Abdulmuhsen NA
Rakan MK
Distal Humeral Shaft Fracture with Simultaneous Ipsilateral Supracondylar Humeral Fracture in a Child: A Case Report
Malaysian Orthopaedic Journal
antegrade
children
elastic stable intramedullary nails
supracondylar humeral fracture
internal fixation
title Distal Humeral Shaft Fracture with Simultaneous Ipsilateral Supracondylar Humeral Fracture in a Child: A Case Report
title_full Distal Humeral Shaft Fracture with Simultaneous Ipsilateral Supracondylar Humeral Fracture in a Child: A Case Report
title_fullStr Distal Humeral Shaft Fracture with Simultaneous Ipsilateral Supracondylar Humeral Fracture in a Child: A Case Report
title_full_unstemmed Distal Humeral Shaft Fracture with Simultaneous Ipsilateral Supracondylar Humeral Fracture in a Child: A Case Report
title_short Distal Humeral Shaft Fracture with Simultaneous Ipsilateral Supracondylar Humeral Fracture in a Child: A Case Report
title_sort distal humeral shaft fracture with simultaneous ipsilateral supracondylar humeral fracture in a child a case report
topic antegrade
children
elastic stable intramedullary nails
supracondylar humeral fracture
internal fixation
url https://www.morthoj.org/2021/v15n2/supracondylar-humeral-fracture.pdf
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AT abdulmuhsenna distalhumeralshaftfracturewithsimultaneousipsilateralsupracondylarhumeralfractureinachildacasereport
AT rakanmk distalhumeralshaftfracturewithsimultaneousipsilateralsupracondylarhumeralfractureinachildacasereport