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

Q2 Medicine

Journal of Clinical Orthopaedics and Trauma Pub Date : 2025-02-15 DOI:10.1016/j.jcot.2025.102945

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

{"title":"The effect of position of anterior humeral line on elbow function after pediatric supracondylar fracture of humerus: A prospective observational study","authors":"Vivek Singh , Surjalal Rajkumar , Aditya KS. Gowda , Bhaskar Sarkar , Meenakshi Khapre , Cury Sharma","doi":"10.1016/j.jcot.2025.102945","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To determine the influence of various Anterior humeral line (AHL) positions on elbow function after complete healing of pediatric supracondylar humerus fractures.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"64 ","pages":"Article 102945"},"PeriodicalIF":0.0000,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Clinical Orthopaedics and Trauma","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0976566225000414","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"Medicine","Score":null,"Total":0}

引用次数: 0

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.

查看原文本刊更多论文

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Clinical Orthopaedics and Trauma Medicine-Orthopedics and Sports Medicine

CiteScore

4.30

自引率

0.00%

发文量

181

审稿时长

92 days

期刊介绍： Journal of Clinical Orthopaedics and Trauma (JCOT) aims to provide its readers with the latest clinical and basic research, and informed opinions that shape today''s orthopedic practice, thereby providing an opportunity to practice evidence-based medicine. With contributions from leading clinicians and researchers around the world, we aim to be the premier journal providing an international perspective advancing knowledge of the musculoskeletal system. JCOT publishes content of value to both general orthopedic practitioners and specialists on all aspects of musculoskeletal research, diagnoses, and treatment. We accept following types of articles: • Original articles focusing on current clinical issues. • Review articles with learning value for professionals as well as students. • Research articles providing the latest in basic biological or engineering research on musculoskeletal diseases. • Regular columns by experts discussing issues affecting the field of orthopedics. • "Symposia" devoted to a single topic offering the general reader an overview of a field, but providing the specialist current in-depth information. • Video of any orthopedic surgery which is innovative and adds to present concepts. • Articles emphasizing or demonstrating a new clinical sign in the art of patient examination is also considered for publication. Contributions from anywhere in the world are welcome and considered on their merits.