Displacement. If the fracture is not properly aligned, surgery is typically recommended for the best outcome.
Usually. In children a supracondylar humerus fracture is the most common fracture which requires surgery. In adults, the fracture often involves the joint, which needs to be anatomically aligned.
Would you recommend surgery for a supracondylar fracture of the distal humerus on a 79 year old female with adequately-controlled niddm?
Yes. A supracondylar fracture is a pretty significant and debilitating fracture if not treated. Particularly if it is displaced or involves the joint. While there are complications as with any surgery, if you are healthy, surgery is better than the alternative of a nonfunctioning elbow.
Severity. If the fracture is displaced (out of alignment), and the patient is healthy, then surgery may be necessary. If it is treated with a cast only, there is a high likelihood of stiffness after the cast is removed.
Is it s supracondylar fracture? So far close reduction technique has been used but no pins have been inserted. Shall we go for surgery?
Can't tell. Cannot tell by the image. Displaced fractures require fixation in most cases.
REduction. This depends upon the adequacy of the reduction, the age of the patient and condition of the soft tissue. This is a matter to discuss with the surgeon.
1yr ago removed implant for distal humerus elbow fracture. Arm partial stiff & triceps atrophy, no progress. Continue physio, try surgery, or no hope?
Get 2nd opinion. Elbow fractures that require orif (open reduction and internal fixation) are prone to elbow stiffness. If p.T./ bracing (dyna splint to improve extension) is not improving your motion consider seeing an ors who is proficient @ elbow arthroscopy. Arthroscopic release can improve elbow motion dramatically in some pts. It can be technically demanding so speak w/ your ors and see if this is an option.
Where. Is it the arm or the lower extremity. There are 2 long bones in the body with a supercondylar region that may be fractured! The humerus and the femur. Unless non displaced or minimally displaced these fractures typically need operative management as they may lead to mal alignment and deformity. Need to see an orthopaedic surgeon if there is any deformity or displacement!
See an orthopedic. These can be tricky some are casted while others have to be operated on to avoid pain deformity and disability the elbow is unforgiving.
Possibly. If you are referring to a supracondylar humerus fracture, the injury can be very painful. With a displaced fracture, there is also risk of vascular injury and nerve injury. These fractures require urgent evaluation.
Supracondylar. There are two areas where one can sustain a supracondylar fracture. The most common region is just above the elbow joint in the humerus. This injury occurs in children, usually from 2 - 10. The treatment depends on the severity of the injury; it can be treated with just a cast, or by manipulating the fragments and pinning it. The other area that has a supracondylar region is the femur.
See below. A fracture of the distal end of the humerus or femur located above the condylar region.
9 months ago plates inserted for distal humerus elbow fracture was removed and arthrolysis done. No improvement in elbow range of motion for 8months.
Not good.? How old is the fx? Stiff elbows are a sig problem and not all of them get better discuss with your surgeon and/or get another opinion.