Assessment of rotational displacement in pediatric supracondylar humerus fractures
10.3760/cma.j.cn115530-20231231-00281
- VernacularTitle:儿童肱骨髁上骨折旋转移位的评估
- Author:
Yong LIU
1
;
Xiaoju LIANG
;
Jianping SUN
;
Huan'an BAI
;
Yating YANG
;
Qiang JIE
Author Information
1. 延安大学医学院，延安 716099
- Keywords:
Child;
Humeral fractures;
Rotation;
Supracondylar humerus fractures
- From:
Chinese Journal of Orthopaedic Trauma
2024;26(11):1008-1012
- CountryChina
- Language:Chinese
-
Abstract:
Supracondylar humerus fractures represent the most prevalent type of upper limb fractures in pediatric patients. As a result of the interplay of external forces, muscular contractions, and periosteal reactions, these fractures are prone not only to axial displacement but also to rotational displacement in a certain degree. Rapid and accurate assessment of the rotational displacement holds a paramount importance for intraoperative realignment, choice of fixation modalities, and anticipation of postoperative function. Currently, methods to evaluate the rotational displacement involve X-ray, CT, and ultrasound, but the various assessment techniques and criteria often pose challenges in differentiation. This paper reviews the current diverse imaging modalities for assessment of the rotational displacement, aiming to translate the intricate three-dimensional spatial rotation into single-plane rotations within the coronal, sagittal, and horizontal planes, thereby aspiring to furnish those concerned with clinical guidance.
