Evidence map›Paper›PMID 38886222›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2024

Peripheral nerve injuries associated with dislocated supracondylar fractures of distal humerus in children: incidence and need of surgical treatment.

Robert Chrenko, Martin Hanko, Marek Grega, Ľubomír Sýkora, René Jáger

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Robert ChrenkoDepartment of Pediatric Neurosurgery, National Institute of Children's Diseases, Bratislava, Slovakia.ORCID 0000-0003-2124-5544
Martin HankoDepartment of Pediatric Neurosurgery, National Institute of Children's Diseases, Bratislava, Slovakia. m.hanko.to@gmail.com.ORCID 0000-0002-6524-6517
Marek GregaDepartment of Pediatric Neurosurgery, National Institute of Children's Diseases, Bratislava, Slovakia.
Ľubomír SýkoraTrauma Center, Department of Pediatric Surgery, National Institute of Children's Diseases, Bratislava, Slovakia.
René JágerTrauma Center, Department of Pediatric Surgery, National Institute of Children's Diseases, Bratislava, Slovakia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this study was to determine the incidence, necessity for neurosurgical intervention, and overall results of the treatment of pediatric peripheral nerve injuries associated with dislocated supracondylar fractures of the distal humerus.

methodA retrospective analysis of pediatric patients with supracondylar fractures treated from April 2019 to April 2022 with a minimum follow-up of 3 months was conducted.

resultsOf 453 included patients, there were 51 recorded peripheral nerve injuries. The ulnar nerve was the most frequently injured nerve. Nine patients required neurosurgical intervention, with the most common procedure being the release of entrapped nerves. The combination of a supracondylar fracture and arterial injury was identified as a significant risk factor for peripheral nerve injury (p < 0.001). Only one patient experienced an unsatisfactory outcome.

conclusionAlthough the prognosis for peripheral nerve injuries in children with supracondylar fractures is generally favorable, these injuries must be properly identified. We recommend an active neurosurgical approach in children with persisting neurological deficits to minimize the risk of permanent neurological impairment.

Indexed as

Humeral FracturesPeripheral Nerve InjuriesAdolescentChildChild, PreschoolFemaleHumansIncidenceInfantMaleNeurosurgical ProceduresRetrospective StudiesMedian nervePeripheral nerve injuryRadial nerveSupracondylar humerus fractureUlnar nerve

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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.