Evidence map›Paper›PMID 40061020›Full record

ArticleJournal of clinical orthopaedics and trauma2025

The effect of position of anterior humeral line on elbow function after pediatric supracondylar fracture of humerus: A prospective observational study.

Vivek Singh, Surjalal Rajkumar, Aditya Ks Gowda, Bhaskar Sarkar, Meenakshi Khapre, Cury Sharma

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Article in Journal of clinical orthopaedics and trauma, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Vivek SinghDepartment of Orthopedics, All India Institute of Medical Sciences, Rishikesh, India.
Surjalal RajkumarDepartment of Orthopedics, All India Institute of Medical Sciences, Rishikesh, India.
Aditya Ks GowdaDepartment of Orthopedics, AIIMS, Rishikesh, Uttarakhand, 249203, India.
Bhaskar SarkarDepartment of Orthopedics, All India Institute of Medical Sciences, Rishikesh, India.
Meenakshi KhapreDepartment of Community and Family Medicine, All India Institute of Medical Sciences, Rishikesh, India.
Cury SharmaAIIMS, Rishikesh, Uttarakhand, 24920, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To determine the influence of various Anterior humeral line (AHL) positions on elbow function after complete healing of pediatric supracondylar humerus fractures. Methods: A prospective study was carried out in 4-year to 14-year-old children presenting with supracondylar fracture at elbow. The intra and post-operative radiographs were assessed for the position of AHL to capitellum on a lateral radiograph. The fractures were categorized into five AHL positions. Radiographs were taken on follow-up visits, and the elbow function was assessed at the final follow-up utilizing elbow performance scores like Flynn's criteria and Mayo's performance score. Results: 58 out of 62 patients (mean age of 8.2 ± 2.8 years) with complete follow-up of 18 months were evaluated and analyzed. The five groups of AHL demonstrated significant differences of arc of motion, mean loss of extension-flexion, and elbow function using Flynn's criteria with no significant difference in Mayo's elbow score. All cases of cubitus varus in the series exhibited alignment anterior and missing capitullum. Conclusions: The radiological positions of AHL can predict the elbow function after surgery. Patients with AHL position crossing the anterior third of the capitellum have reduced arc of motion and risk developing cubitus varus in the future. Children with AHL position intersecting the posterior and middle third of capitellum have bilaterally comparable elbow flexion and total range of motion.

Indexed as

Anterior humeral lineBaumman's angleCarrying angleCubitus varus deformityPediatric supracondylar fracture

Identifiers

PMID40061020
PMCPMC11889615

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