![]() The Gartland classification system is used to describe the severity of displacement for extension-type supracondylar fractures. ![]() Extension-type (98%) - distal fragment is displaced posteriorly.Flexion-type (rare) - distal fragment is displaced anteriorly.Supracondylar fractures are initially divided into two types, depending on the direction of displacement of the distal fragment: Requires urgent reduction and percutaneous pin fixationĪ supracondylar fracture occurs through the thin part of the distal humerus above the level of the growth plate. Refer to the nearest orthopaedic on call service These must always be managed by orthopaedicsįracture clinic within 7 days post-injury with x-ray of distal humerus in backslab Note the exception is type II injuries with coronal plane deformity (see radiological assessment). Refer to the nearest orthopaedic on call service for adviceĪ gentle reduction can be achieved by an anterior push on the distal fragment as the elbow is flexed to 90 degrees Undisplaced supracondylar fracture fact sheet Undisplaced fractures can be followed up with the GP in 3 weeks. close to the axilla) and down to the metacarpophalangeal joints (MCP) joints. The backslab should extend as high above the elbow as possible (i.e. ![]() TIP: Avoid putting on a short, flimsy backslab. loose fitting shirt) and not through the sleeve ![]() The backslab and sling should be worn under clothing (e.g. Immobilisation in an above-elbow backslab in 90 degrees elbow flexion with sling for 3 weeks. Gartland classification for extension fractures ![]()
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