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KEY FACTS
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Gartland fracture
Definitions
- Supracondylar fracture: Transverse fracture of distal humeral metadiaphyseal junction with varying degrees of displacement & comminution
- FOOSH injury: Fall on outstretched hand
- Anterior humeral line: Vertical line drawn along anterior cortex of humeral diaphysis; normally bisects capitellum
- Radiocapitellar (RC) line: Line drawn through long axis of radius; normally bisects capitellum on any view
- Due to eccentric ossification of capitellum, RC line may not bisect ossified capitellum < 10 years of age
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
- Fader LM et al: Eccentric capitellar ossification limits the utility of the radiocapitellar line in young children. J Pediatr Orthop. 36(2):161-6, 2016
- Hyatt BT et al: Complications of pediatric elbow fractures. Orthop Clin North Am. 47(2):377-85, 2016
- Kang S et al: The prognostic value of the fracture level in the treatment of Gartland type III supracondylar humeral fracture in children. Bone Joint J. 97-B(1):134-40, 2015
- Muchow RD et al: Neurological and vascular injury associated with supracondylar humerus fractures and ipsilateral forearm fractures in children. J Pediatr Orthop. 35(2):121-5, 2015
- Zorrilla S de Neira J et al: Supracondylar humeral fractures in children: current concepts for management and prognosis. Int Orthop. 39(11):2287-96, 2015
- Isa AD et al: Functional outcome of supracondylar elbow fractures in children: a 3- to 5-year follow-up. Can J Surg. 57(4):241-6, 2014
- Ladenhauf HN et al: The displaced supracondylar humerus fracture: indications for surgery and surgical options: a 2014 update. Curr Opin Pediatr. 26(1):64-9, 2014
- Little KJ: Elbow fractures and dislocations. Orthop Clin North Am. 45(3):327-40, 2014
- Matuszewski Ł: Evaluation and management of pulseless pink/pale hand syndrome coexisting with supracondylar fractures of the humerus in children. Eur J Orthop Surg Traumatol. 24(8):1401-6, 2014
- Narayanan S et al: Fishtail deformity - a delayed complication of distal humeral fractures in children. Pediatr Radiol. 45(6):814-9, 2014
- Pennock AT et al: Potential causes of loss of reduction in supracondylar humerus fractures. J Pediatr Orthop. 34(7):691-7, 2014
- Valencia M et al: Long-term functional results of neurological complications of pediatric humeral supracondylar fractures. J Pediatr Orthop. 35(6):606-10, 2014
- Wegmann H et al: The impact of arterial vessel injuries associated with pediatric supracondylar humeral fractures. J Trauma Acute Care Surg. 77(2):381-5, 2014
- Glotzbecker MP et al: Fishtail deformity of the distal humerus: a report of 15 cases. J Pediatr Orthop. 33(6):592-7, 2013
- Tomaszewski R et al: Analysis of early vascular and neurological complications of supracondylar humerus fractures in children. Pol Orthop Traumatol. 77:101-4, 2012
- Pudas T et al: Magnetic resonance imaging in pediatric elbow fractures. Acta Radiol. 46(6):636-44, 2005
Related Anatomy
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References
Tables
Tables
KEY FACTS
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
- Gartland fracture
Definitions
- Supracondylar fracture: Transverse fracture of distal humeral metadiaphyseal junction with varying degrees of displacement & comminution
- FOOSH injury: Fall on outstretched hand
- Anterior humeral line: Vertical line drawn along anterior cortex of humeral diaphysis; normally bisects capitellum
- Radiocapitellar (RC) line: Line drawn through long axis of radius; normally bisects capitellum on any view
- Due to eccentric ossification of capitellum, RC line may not bisect ossified capitellum < 10 years of age
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Imaging Recommendations
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
Staging, Grading, & Classification
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
DIAGNOSTIC CHECKLIST
Image Interpretation Pearls
Selected References
- Fader LM et al: Eccentric capitellar ossification limits the utility of the radiocapitellar line in young children. J Pediatr Orthop. 36(2):161-6, 2016
- Hyatt BT et al: Complications of pediatric elbow fractures. Orthop Clin North Am. 47(2):377-85, 2016
- Kang S et al: The prognostic value of the fracture level in the treatment of Gartland type III supracondylar humeral fracture in children. Bone Joint J. 97-B(1):134-40, 2015
- Muchow RD et al: Neurological and vascular injury associated with supracondylar humerus fractures and ipsilateral forearm fractures in children. J Pediatr Orthop. 35(2):121-5, 2015
- Zorrilla S de Neira J et al: Supracondylar humeral fractures in children: current concepts for management and prognosis. Int Orthop. 39(11):2287-96, 2015
- Isa AD et al: Functional outcome of supracondylar elbow fractures in children: a 3- to 5-year follow-up. Can J Surg. 57(4):241-6, 2014
- Ladenhauf HN et al: The displaced supracondylar humerus fracture: indications for surgery and surgical options: a 2014 update. Curr Opin Pediatr. 26(1):64-9, 2014
- Little KJ: Elbow fractures and dislocations. Orthop Clin North Am. 45(3):327-40, 2014
- Matuszewski Ł: Evaluation and management of pulseless pink/pale hand syndrome coexisting with supracondylar fractures of the humerus in children. Eur J Orthop Surg Traumatol. 24(8):1401-6, 2014
- Narayanan S et al: Fishtail deformity - a delayed complication of distal humeral fractures in children. Pediatr Radiol. 45(6):814-9, 2014
- Pennock AT et al: Potential causes of loss of reduction in supracondylar humerus fractures. J Pediatr Orthop. 34(7):691-7, 2014
- Valencia M et al: Long-term functional results of neurological complications of pediatric humeral supracondylar fractures. J Pediatr Orthop. 35(6):606-10, 2014
- Wegmann H et al: The impact of arterial vessel injuries associated with pediatric supracondylar humeral fractures. J Trauma Acute Care Surg. 77(2):381-5, 2014
- Glotzbecker MP et al: Fishtail deformity of the distal humerus: a report of 15 cases. J Pediatr Orthop. 33(6):592-7, 2013
- Tomaszewski R et al: Analysis of early vascular and neurological complications of supracondylar humerus fractures in children. Pol Orthop Traumatol. 77:101-4, 2012
- Pudas T et al: Magnetic resonance imaging in pediatric elbow fractures. Acta Radiol. 46(6):636-44, 2005
