Applying ice to reduce pain and swelling.While you are in the emergency room, your doctor will apply a splint (like a cast) to your elbow and give you a sling to help keep your elbow in position. Your doctor will order x-rays of your elbow to help diagnose your fracture.ĭepending on your symptoms, your doctor may also order x-rays of your upper arm, forearm, shoulder, wrist, and/or hand to ensure that you do not have any other injuries. X-rays provide images of dense structures, such as bone. This can result in weakness and numbness in the ring and small fingers.Īlthough you may have pain only at the elbow, your doctor may also examine your shoulder, upper arm, forearm, wrist, and hand to ensure that you do not have any other injuries. In some cases, the ulnar nerve may be injured at the same time the fracture occurs. Check to see that you can move your fingers and wrist, and can feel things with your fingers.Check your pulse at the wrist to ensure that there is good blood flow to your hand and fingers.This could indicate other broken bones or injuries, such as a dislocated elbow. Palpate (feel) all around your elbow to determine if there are any other areas of tenderness.In severe fractures, bone fragments can break through the skin, increasing the risk of infection.
#Supracondylar fracture of humerus in adults skin
Check your skin for cuts and lacerations.He or she will then examine your elbow to determine the extent of the injury. Your doctor will talk with you about your medical history and general health and ask about your symptoms. The excellent outcome was significantly associated with lower rate of complications and shorter time to clinical and radiological union.ĬONCLUSION: Parallel plates for the treatment of adult supracondylar humerus fractures could be considered safe and effective technique, leading to good functional outcome and a complication rate comparable to published literature.Most patients with distal humerus fractures will go to an urgent care center or emergency room for initial treatment. The mean±SD times to clinical and radiological union were 12.75 ± 6.44 and 14.70 ± 7.84 weeks, respectively. The overall complication rate was 30.0% and the commonest were pain and stiffness (15.0% for each). RESULTS: The excellent outcome was achieved among 55.0%, while 30.0% had good, 10% had fair and 5.0% had poor outcome. The functional assessment of the patient was done according to Mayo elbow performance index and the outcome was graded into excellent, good, poor and fair. Postoperative, patients were assessed after 2, 4, 8, 12 weeks and 6 months of surgery, with clinical and radiological evaluations and assessed for pain, swelling, range of joint motion and radiological union. The preoperative radiological workup was performed by antero-posterior and lateral radiographs of the elbow with traction and computed tomography was performed with three-dimensional reconstruction. On admission, all were assessed by careful history taking and detailed clinical examination.
They were followed up clinically and radiologically for 6 months. They were treated by open reduction and internal fixation by parallel plates through olecranon osteotomy technique.
Patients and Methods: This study included 20 adult patients with supracondylar humerus fractures. Objective: The aim of this study was to evaluate the outcome of parallel plates for the treatment of supracondylar humerus fractures in adults.
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