Left supracondylar fracture icd 108/8/2023 Type IIb always required reduction +/- fixation. Although traditionally these fractures were treated non-operatively with cast immobilization of the flexed arm to 120 degrees, this however dramatically increases the risk of ischemic contracture ( Volkmann contracture), as such most authors recommend percutaneous pinning ( CRIF) and cast immobilization with less than 90 degrees flexion 5,7. Type IIa usually requires reduction (especially when angulation is more than 20 degrees). Type I (undisplaced) fractures are stable and can be treated with cast immobilization for approximately 3 weeks. Management depends on the type and degree of angulation 5,7. Repeating radiographs after inflammation has subsided may be helpful in demonstrating the fracture this is typically done 7-10 days later. Even in the absence of an obvious fracture, the patient needs to be treated with a cast.
0 Comments
Leave a Reply.AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |