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NARRATIVE REVIEW
Year : 2022  |  Volume : 19  |  Issue : 3  |  Page : 2-8

Atypical supracondylar fractures – How to recognize and treat?


1 Head of Paediatric Orthopaedics, Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamilnadu, India
2 Fellow in Paediatric Orthopaedics, Department of Orthopaedics and Spine Surgery, Ganga Hospital, Coimbatore, Tamilnadu, India

Correspondence Address:
K Venkatadass
Head of Paediatric Orthopaedics, Department of Orthopaedics and Spine Surgery, Ganga Hospital 313, Mettupalayam Main Road, Coimbatore
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2667-3665.346028

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Atypical supracondylar fractures are defined as those supracondylar fractures which pose a challenge in either reduction or fixation or both. Hence, a supracondylar fracture which is not amenable for the standard closed reduction and lateral divergent pinning may be classified as atypical. We have included the following fracture patterns as atypical in this article: 1) Reverse oblique fractures, 2) Rotationally unstable fractures, 3) Comminuted supracondylar fractures, 4) Supracondylar fracture with intra-articular extension and 5) Flexion type fractures. We have described ways to recognize these fractures with tips and tricks to reduce and stabilize them with relevant literature and case examples. It is important to be aware of these atypical injuries to identify them and manage them appropriately.


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