Sex-based differences in pediatric supracondylar humerus fractures.

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Abstract

[Indexed for MEDLINE] Conflict of interest statement: The authors have no conflicts of interest to disclose. 19. J Pediatr Orthop. 2026 Jul 1;46(6):e517-e523. doi: 10.1097/BPO.0000000000003155. Epub 2025 Nov 7. Pediatric Supracondylar Humerus Fractures: The Utility of Post-Mobilization Follow-Up. Tung WS(1)(2), Muñoz T(2), Tan LYT(3), Reikersdorfer K(2), Arnold SC(2)(4), Massoud JG(2), Ly TV(1), Paschos N(2). Author information: (1)Trauma Service, Department of Orthopaedic Surgery. (2)Pediatric Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA. (3)Yong Loo Lin School of Medicine, National University of Singapore (NUS), Singapore. (4)Trauma Service, Department of General Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA. INTRODUCTION: There is currently no universally accepted follow-up protocol for pediatric supracondylar humerus fractures (pSCHFs), but post-mobilization follow-ups are commonly scheduled to evaluate range of motion and the presence of deformities. Recent practice has trended towards enhancing efficiency by reducing unnecessary clinic visits for uncomplicated fractures. This study examines follow-up practices after pSCHFs at our multicenter institution, evaluating the utility of post-mobilization follow-up visits, and determining appropriate criteria for safe early discharge. METHODS: All consecutive pediatric patients who underwent definitive management for pSCHFs between January 1, 2016, and March 1, 2024, at our multicenter institution were screened. Patients were stratified and analyzed based on their discharge status and need for additional follow-up post-mobilization. Patient, injury, and treatment characteristics were compared using χ 2 , Fisher's exact, Welch's T, and Mann-Whitney U tests, as appropriate. RESULTS: Of the 384 patients included in this analysis, 59 (15.4%) were discharged early after elbow mobilization. Increased fracture severity and intervention complexity were significantly associated with the need for additional follow-up (both P