Supracondylar Humerus Fracture in Pediatrics

Authors

  • Ainun Fatiha Dea Putri Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram
  • Ardhitio Musthafa Akmal Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram
  • Athala Rania Insyira Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram
  • Baiq Aliza Khansa Istika Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram
  • I Gede Bramanty Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram
  • I Gede Prabananda A Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram
  • I Gusti Ayu Ratih C. N Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram
  • Ni Komang Ayu T. Y Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram
  • Rizqi Al Kasiron Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram
  • Siska Julia Cindy W Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram
  • Siti Jaisy Millah Hadaina Fakultas Kedokteran Ilmu Kesehatan, Universitas Mataram

DOI:

https://doi.org/10.58258/rehat.v6i2.9651

Keywords:

Supracondylar humerus fracture, Pediatric trauma, Gartland classification, Elbow injury, Closed reduction, Percutaneous pinning.

Abstract

Supracondylar humerus fracture is the most common elbow fracture in children, particularly between the ages of 4 and 10 years. This injury typically occurs due to a fall on an outstretched hand, causing indirect trauma to the distal humerus, an area structurally thinner and more vulnerable to fracture. Clinical manifestations include pain, swelling, limited elbow motion, and, in severe cases, deformity or neurovascular impairment. Diagnosis is established through clinical assessment and radiographic evaluation, with key indicators such as the anterior humeral line and fat pad sign. Management is guided by the Gartland classification. Non-displaced fractures (Type I) are treated conservatively with immobilization, while displaced fractures (Types II, III, and IV) generally require closed reduction and percutaneous pinning to prevent complications such as neurovascular injury, compartment syndrome, malunion, and cubitus varus deformity. Early and appropriate treatment is essential to restore function and prevent long-term complications.

References

Abzug J, Herman M. (2012) 'Management of supracondylar humerus fracture in children: current concepts. Journal of the American Academy of Orthopaedic Surgeons, 20(2), p69-77. doi: 10.5435/JAAOS-20-02-069. PMID: 22302444.

Blom, A.W., Warwick, D., & Michael, R.W. (2018). Apley & Solomon System of Orthopaedic and Trauma, 10th edition

Hope N, Varacallo M. Supracondylar Humerus Fractures. 2022 Feb 12. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan–. PMID: 32809768.

Kropelnicki, A. et al. (2019) ‘Paediatric supracondylar humerus fractures’, British journal of hospital medicine, 80(6), pp. 312–316. doi: 10.12968/hmed.2019.80.6.312.

Kumar, V. and Singh, A. (2016) ‘Fracture supracondylar humerus: A review’, Journal of Clinical and Diagnostic Research, 10(12), pp. 1–6. doi: 10.7860/JCDR/2016/21647.8942.

Picado, A. V., Morán, G. G., & Moraleda, L. (2018). Management of supracondylar fractures of the humerus in children. Efor Open Reviews, 3, pp. 526-540. Available at: DOI: 10.1302/2058-5241.3.170049

Riansyah, D. and Putra, A. (2020) ‘Epidemiologi Fraktur Suprakondiler Humerus pada Anak di Rumah Sakit Urip Sumoharjo Bandar Lampung Periode 2014 - 2019’, Jurnal Kesehatan Unila, 4(2), pp. 190–196.

Shah, M. and Agashe, M. V. (2021) ‘Supracondylar Humerus Fractures: Classification Based Treatment Algorithms’, Indian Journal of Orthopaedics. Springer India, 55(1), pp. 68–80. doi: 10.1007/s43465-020-00285-2.

St. Clair, J. B. and Schreiber, V. M. (2022) ‘Supracondylar Humerus Fractures’, Operative Techniques in Orthopaedics. StatPearls Publishing, 29(1), pp. 11–16. doi: 10.1053/j.oto.2018.12.003.

Sumarwoto, T., Hadinoto, S. A. and Suko, S. I. H. (2020) ‘Profile of neglected supracondylar humeral fractures in Prof . Dr . Soeharso orthopaedic hospital Surakarta , Indonesia ( january 2018 - december 2018 )’, The Journal of Indonesian Orthopaedic & Traumatology, 3(3), pp. 16–19. doi: 10.31282/joti.v3n3.64.

Downloads

Additional Files

Published

2025-12-01

Issue

Vol. 6 No. 2 (2025): Research of Service Administration Health and Sains Healthys (Desember)

Section

Articles

License

Authors who publish with Research of Service Administration Health and Sains Healthys agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License (CC BY-SA 4.0) that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal. 
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.