Radiographic considerations for pediatric supracondylar humerus fractures.

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Abstract

[Indexed for MEDLINE] 9. BMJ Case Rep. 2024 Jan 29;17(1):e258311. doi: 10.1136/bcr-2023-258311. Paediatric bilateral 'floating elbow'. Rangasamy K(1), Maheshwari S(2), Ghosh A(1), Gopinathan NR(1). Author information: (1)Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, India. (2)Orthopaedics, Post Graduate Institute of Medical Education and Research, Chandigarh, India shivammaheshwari95@gmail.com. A child sustained an ipsilateral supracondylar humerus (SCH) and distal both-bone forearm fractures bilaterally, in addition to facial injuries, following a fall from height. He was managed surgically by closed reduction and pinning for both SCH and distal end radius fractures bilaterally. At the final follow-up, all the fractures had united uneventfully, and he had no functional limitations or cosmetic concerns. We conclude that a floating elbow in the paediatric population is an uncommon injury, and the bilateral scenario is even rarer. One should be vigilant for compartment syndrome; early surgical fixation may give better results. © BMJ Publishing Group Limited 2024. No commercial re-use. See rights and permissions. Published by BMJ. DOI: 10.1136/bcr-2023-258311 PMCID: PMC10826532