ArticleEFORT open reviews2018
Management of supracondylar fractures of the humerus in children.
Article in EFORT open reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 72 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Supracondylar Pinning Antibiotic Stewardship (SPAS) Trial
Functional Outcomes of Low Level Laser Versus Pulsed Electromagnetic Therapy in Children With Supracondylar Humeral Fracture
The Wrist-Free Study- A Randomized Controlled Trial Comparing Traditional Above Elbow Casts to Ones That Free the Wrist in Pediatric Supracondylar Humerus Fractures
Who cites it
72 citing papers in PubMed, 4 syntheses or guidelines pooled it, 514 citations in OpenAlex.
- The role of autologous venous grafts in the management of vascular injuries associated with paediatric supracondylar humeral fractures: a systematic review.BMC musculoskeletal disorders · 2026Pooled it
- Operative versus nonoperative treatment of type II pediatric supracondylar humeral fractures: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Pooled it
- The Role of Patient Position in the Surgical Treatment of Supracondylar Fractures of the Humerus: Comparison of Prone and Supine Position.Medicina (Kaunas, Lithuania) · 2023Pooled it
- Interventions for treating supracondylar elbow fractures in children.The Cochrane database of systematic reviews · 2022Pooled it
- Biobased polyester versus synthetic fiberglass casts for treating stable upper limb fractures in children: a randomized controlled trial.BMC musculoskeletal disorders · 2024Trial
- A Rare Adolescent T-Y Distal Humerus Fracture with Capitellar Shear Component Managed Using a Triangular Cannulated Screw Construct and Herbert Screw Fixation: A Rare Case Report.Journal of orthopaedic case reports · 2026Article
- Radiographic and clinical factors associated with open reduction in pediatric supracondylar humerus fractures.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Do surgical technique and pin configuration influence clinical and radiological outcomes in pediatric supracondylar humerus fractures? a modified Flynn-based analysis.Musculoskeletal surgery · 2026Article
- Comparative Evaluation of Two Fluoroscopic Techniques in Pediatric Supracondylar Humerus Fractures: A Retrospective Study on Surgical Efficiency and Early Outcomes.Medical science monitor : international medical journal of experimental and clinical research · 2026Article
- Clinical and logistical determinants of operative timing, surgical approach, and admission in paediatric supracondylar humerus fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Brachial Artery Entrapment Due to Supracondylar Humerus Fracture-Two Case Reports.Children (Basel, Switzerland) · 2026Article
- Fracture morphology and multidirectional instability in failed closed reduction of pediatric supracondylar humerus fractures.Journal of children's orthopaedics · 2026Article
- Elbow Soft Tissue Apex as a Marker for the Anterior Humeral Line: An Anatomic Landmark for Pinning of Pediatric Supracondylar Humerus Fractures.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Factors Influencing Time to Return of Elbow Motion in Completely Displaced and Flexion Type Pediatric Supracondylar Humeral Fractures.Journal of the Pediatric Orthopaedic Society of North America · 2026Article
- Retrospective surgical outcomes of Gartland type III supracondylar humeral fractures with absent pulse in children.Frontiers in pediatrics · 2026Article
- Development and external validation of a decision-support model for predicting failed closed reduction in pediatric supracondylar humerus fractures: a multicenter retrospective study.Frontiers in pediatrics · 2026Article
- Force-sensing drill-through detection and automatic stopping in a porcine distal humerus model simulating pediatric supracondylar pinning.Frontiers in pediatrics · 2026Article
- Non-rotational medial pinning with the K-Hammer technique in pediatric supracondylar fractures: a retrospective case-control study.Frontiers in pediatrics · 2026Article
- Predictors of failed closed reduction in pediatric Gartland type III and flexion-type supracondylar humerus fractures.BMC musculoskeletal disorders · 2025Article
- Outcome of Type III Supracondylar Humerus Fracture Treatment by Closed Reduction and Different Configuration of Percutaneous K-wire Technique in Children.Journal of orthopaedic case reports · 2025Article
12 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Supracondylar fractures of the humerus are the most frequent fractures of the paediatric elbow, with a peak incidence at the ages of five to eight years.Extension-type fractures represent 97% to 99% of cases. Posteromedial displacement of the distal fragment is the most frequent; however, the radial and median nerves are equally affected. Flexion-type fractures are more commonly associated with ulnar nerve injuries.Concomitant upper-limb fractures should always be excluded. To manage the vascular status, distal pulse and hand perfusion should be monitored. Compartment syndrome should always be borne in mind, especially when skin puckering, severe ecchymosis/swelling, vascular alterations or concomitant forearm fractures are present.Gartland's classification shows high intra- and inter-observer reliability. Type I is treated with casting. Surgical treatment is the standard for almost all displaced fractures. Type IV fractures can only be diagnosed intra-operatively.Closed reduction and percutaneous pinning is the gold standard surgical treatment. Open reduction via the anterior approach is indicated for open fractures, absence of the distal vascular flow for > 10 to 15 minutes after closed reduction, and failed closed reduction.Lateral entry pins provide stable fixation, avoiding the risk of iatrogenic ulnar nerve injury.About 10% to 20% of displaced supracondylar fractures present with alterations in vascular status. In most cases, fracture reduction restores perfusion.Neural injuries occur in 6.5% to 19% of cases involving displaced fractures. Most of them are neurapraxias and it is not routinely indicated to explore the nerve surgically. Cite this article:
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.