Gartland Type-IV Supracondylar Humeral Fractures: Preoperative Radiographic Features and a Hypothesis on Causation

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dc.contributor.authorSoldado, Francisco
dc.contributor.authorHodgson, Felipe
dc.contributor.authorBarrera-Ochoa, Sergi
dc.contributor.authorDiaz-Gallardo, Paula
dc.contributor.authorCristina Garcia-Martinez, Maria
dc.contributor.authorRamirez-Carrasco, Tomas R.
dc.contributor.authorDomenech-Fernandez, Pedro
dc.contributor.authorKnorr, Jorge
dc.date.accessioned2025-01-20T21:11:20Z
dc.date.available2025-01-20T21:11:20Z
dc.date.issued2022
dc.description.abstractBackground: The diagnose of Gartland Type-IV (G-IV) supracondylar humeral fractures (SCHF) has been reported to only be possible via fluoroscopy intra-operatively.
dc.description.abstractHypothesis: A preoperative radiographic fracture pattern can indicate a G-IV SCHF.
dc.description.abstractPatients and methods: Retrospective qualitative analysis of radiographs and reduction techniques used in twenty-seven GIV SCHF.
dc.description.abstractResults: Anterior-posterior radiographs demonstrated lateral translation or angulation in 21 cases (valgus type) and medial translation or angulation in 6 cases (varus type). In spite of a complete cortical disruption, lateral radiographs showed that the distal fragment was vertically aligned with the proximal fragment. Reduction was achieved in semi-extension, via supination in valgus type fracture and pronation for varus type fractures.
dc.description.abstractDiscussion: Our conjecture is that a trauma vector in the coronal plane would result in a nearcircumferential periosteal disruption, with which either a medial or lateral periosteal hinge remains. The distal fragment would be vertically aligned in lateral radiographs. (C) 2021 Elsevier Masson SAS. All rights reserved.
dc.fuente.origenWOS
dc.identifier.doi10.1016/j.otsr.2021.103049
dc.identifier.issn1877-0568
dc.identifier.urihttps://doi.org/10.1016/j.otsr.2021.103049
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93621
dc.identifier.wosidWOS:000752472300012
dc.issue.numero1
dc.language.isoen
dc.revistaOrthopaedics & traumatology-surgery & research
dc.rightsacceso restringido
dc.subjectPediatric elbow trauma
dc.subjectHumeral supracondylar fracture
dc.subjectGartland-type IV
dc.subjectPediatric elbow radiology
dc.titleGartland Type-IV Supracondylar Humeral Fractures: Preoperative Radiographic Features and a Hypothesis on Causation
dc.typeartículo
dc.volumen108
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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