Prognosis and risk factors of nerve injuries in displaced pediatric supracondylar humerus fractures

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dc.authoridErem, Murat/0000-0002-9743-5515
dc.authoridOzcan, Mert/0000-0002-2009-1881
dc.authorwosidErem, Murat/P-6240-2018
dc.contributor.authorOzcan, M.
dc.contributor.authorAltinoz, O.
dc.contributor.authorErem, M.
dc.contributor.authorCiftdemir, M.
dc.contributor.authorCopuroglu, C.
dc.contributor.authorTuran, F. N.
dc.date.accessioned2024-06-12T10:58:53Z
dc.date.available2024-06-12T10:58:53Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractBackground: Supracondylar humerus (SCH) fractures are serious injuries due to the neighborhood of critical neural and vascular structures. One of the most devastating complications of SCH fractures is neurological damage, since it may cause permanent disability. The aim of this study is to categorize neurological complications, to report long-term functional outcomes, and to determine risk factors associated with childhood SCH fractures. Methods: The records of 375 children were reviewed retrospectively. Data about amount and direction of displacement, the shape of the fracture, age at the time of fracture, gender, time from impaction to surgery, time of surgery, type of neurological injury, and recovery time were recorded. Results: Neurological complications were seen in 37 (9.85%) children. Thirteen (35.1%) of the children had an iatrogenic nerve injury. All iatrogenic injuries were fully recovered in this study. However, 2 children who had combined neurological injury of radial, ulnar, and median nerves did not recover. Nearly 95% of all children who had neurological injury recovered fully. An anterior long and sharp bone fragment (spike) was observed in most of the children with neurological injury, and this spike was seen in 14 (58.3%) patients who had a trauma-related injury (n = 24). Conclusion: The prognosis of these nerve injuries is excellent, especially the iatrogenic ones. A long and sharp bone fragment (spike) may be responsible for nerve injuries in some children. Surgical exploration is not necessary after an iatrogenic nerve injury when there is no neurotmesis. Patience and care are utmost needed to handle neurological complications.en_US
dc.identifier.doi10.4103/njcp.njcp_575_18
dc.identifier.endpage653en_US
dc.identifier.issn1119-3077
dc.identifier.issue5en_US
dc.identifier.pmid32367871en_US
dc.identifier.scopus2-s2.0-85084276986en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage647en_US
dc.identifier.urihttps://doi.org/10.4103/njcp.njcp_575_18
dc.identifier.urihttps://hdl.handle.net/20.500.14551/20234
dc.identifier.volume23en_US
dc.identifier.wosWOS:000536241100009en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWolters Kluwer Medknow Publicationsen_US
dc.relation.ispartofNigerian Journal Of Clinical Practiceen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCross-Pinningen_US
dc.subjectIatrogenic Nerve Injuryen_US
dc.subjectNeurological Injuryen_US
dc.subjectPrognosisen_US
dc.subjectSupracondylar Fractureen_US
dc.subjectK-Wire Fixationen_US
dc.subjectNeurological Complicationsen_US
dc.subjectNeurovascular Complicationsen_US
dc.subjectChildrenen_US
dc.titlePrognosis and risk factors of nerve injuries in displaced pediatric supracondylar humerus fracturesen_US
dc.typeArticleen_US

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