Fracture of distal humerus extending across both medial and lateral condyles
Orientation: transverse
Does not involve articular surface of humerus
Intracapsular
Mechanism: extension force on outstretched arm (FOOSH)
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
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Mansor Y et al: Is a radiograph needed one week after internal fixation of a supracondylar humeral fracture? J Pediatr Orthop B. 28(6):536-41, 2019
Kim HH et al: Pediatric elbow injuries. Semin Ultrasound CT MR. 39(4):384-96, 2018
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
Guven MF et al: Results of displaced supracondylar humerus fractures treated with open reduction and internal fixation after a mean 22.4 years of follow-up. J Shoulder Elbow Surg. 24(4):640-6, 2015
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
Vallila N et al: Pediatric distal humeral fractures and complications of treatment in Finland: a review of compensation claims from 1990 through 2010. J Bone Joint Surg Am. 97(6):494-9, 2015
Abbott MD et al: Gartland type III supracondylar humerus fractures: outcome and complications as related to operative timing and pin configuration. J Child Orthop. 8(6):473-7, 2014
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
Abzug JM et al: Management of supracondylar humerus fractures in children: current concepts. J Am Acad Orthop Surg. 20(2):69-77, 2012
Mulpuri K et al: The treatment of displaced supracondylar humerus fractures: evidence-based guideline. J Pediatr Orthop. 32 Suppl 2:S143-52, 2012
Mallo G et al: Use of the Gartland classification system for treatment of pediatric supracondylar humerus fractures. Orthopedics. 33(1):19, 2010
Herman MJ et al: Relationship of the anterior humeral line to the capitellar ossific nucleus: variability with age. J Bone Joint Surg Am. 91(9):2188-93, 2009
Mangat KS et al: The 'pulseless pink' hand after supracondylar fracture of the humerus in children: the predictive value of nerve palsy. J Bone Joint Surg Br. 91(11):1521-5, 2009
Omid R et al: Supracondylar humeral fractures in children. J Bone Joint Surg Am. 90(5):1121-32, 2008
Shrader MW: Pediatric supracondylar fractures and pediatric physeal elbow fractures. Orthop Clin North Am. 39(2):163-71, v, 2008
Baratz M et al: Pediatric supracondylar humerus fractures. Hand Clin. 22(1):69-75, 2006
Hausman M et al: Treatment of distal humerus fractures in the elderly. Clin Orthop Relat Res. (425):55-63, 2004
O'Driscoll SW: Supracondylar fractures of the elbow: open reduction, internal fixation. Hand Clin. 20(4):465-74, 2004
Perry CR et al: Transcondylar fractures of the distal humerus. J Orthop Trauma. 3(2):98-106, 1989
Jones D: Transcondylar fractures of the humerus in children: definition of an acceptable reduction. Proc R Soc Med. 70(9):624-31, 1977
Knight RA: Fractures of the humeral condyles in adults. South Med J. 48(11):1165-73, 1955
Related Anatomy
Loading...
Related Differential Diagnoses
Loading...
References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
Diagnostic Checklist
TERMINOLOGY
Synonyms
Supracondylar fracture of childhood
Most are actually transcondylar
Gartland fracture
Definitions
Fracture of distal humerus extending across both medial and lateral condyles
Orientation: transverse
Does not involve articular surface of humerus
Intracapsular
Mechanism: extension force on outstretched arm (FOOSH)
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
Consider
Image Interpretation Pearls
Reporting Tips
Selected References
Mansor Y et al: Is a radiograph needed one week after internal fixation of a supracondylar humeral fracture? J Pediatr Orthop B. 28(6):536-41, 2019
Kim HH et al: Pediatric elbow injuries. Semin Ultrasound CT MR. 39(4):384-96, 2018
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
Guven MF et al: Results of displaced supracondylar humerus fractures treated with open reduction and internal fixation after a mean 22.4 years of follow-up. J Shoulder Elbow Surg. 24(4):640-6, 2015
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
Vallila N et al: Pediatric distal humeral fractures and complications of treatment in Finland: a review of compensation claims from 1990 through 2010. J Bone Joint Surg Am. 97(6):494-9, 2015
Abbott MD et al: Gartland type III supracondylar humerus fractures: outcome and complications as related to operative timing and pin configuration. J Child Orthop. 8(6):473-7, 2014
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
Abzug JM et al: Management of supracondylar humerus fractures in children: current concepts. J Am Acad Orthop Surg. 20(2):69-77, 2012
Mulpuri K et al: The treatment of displaced supracondylar humerus fractures: evidence-based guideline. J Pediatr Orthop. 32 Suppl 2:S143-52, 2012
Mallo G et al: Use of the Gartland classification system for treatment of pediatric supracondylar humerus fractures. Orthopedics. 33(1):19, 2010
Herman MJ et al: Relationship of the anterior humeral line to the capitellar ossific nucleus: variability with age. J Bone Joint Surg Am. 91(9):2188-93, 2009
Mangat KS et al: The 'pulseless pink' hand after supracondylar fracture of the humerus in children: the predictive value of nerve palsy. J Bone Joint Surg Br. 91(11):1521-5, 2009
Omid R et al: Supracondylar humeral fractures in children. J Bone Joint Surg Am. 90(5):1121-32, 2008
Shrader MW: Pediatric supracondylar fractures and pediatric physeal elbow fractures. Orthop Clin North Am. 39(2):163-71, v, 2008
Baratz M et al: Pediatric supracondylar humerus fractures. Hand Clin. 22(1):69-75, 2006
Hausman M et al: Treatment of distal humerus fractures in the elderly. Clin Orthop Relat Res. (425):55-63, 2004
O'Driscoll SW: Supracondylar fractures of the elbow: open reduction, internal fixation. Hand Clin. 20(4):465-74, 2004
Perry CR et al: Transcondylar fractures of the distal humerus. J Orthop Trauma. 3(2):98-106, 1989
Jones D: Transcondylar fractures of the humerus in children: definition of an acceptable reduction. Proc R Soc Med. 70(9):624-31, 1977
Knight RA: Fractures of the humeral condyles in adults. South Med J. 48(11):1165-73, 1955
STATdx includes over 200,000 searchable images, including x-ray, CT, MR, and ultrasound images. To access all images, please log in or subscribe.