Gartland II型肱骨髁上骨折的非手术治疗：综述。

IF 2.9 2区医学 Q1 ORTHOPEDICS

Current Reviews in Musculoskeletal Medicine Pub Date : 2025-02-01 Epub Date: 2025-01-07 DOI:10.1007/s12178-024-09937-4

Michaela Booker, Faith Sumandea, Ishaan Swarup, Nirav Pandya

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引用次数: 0

摘要

综述目的：本综述旨在全面分析小儿Gartland II型骨折的非手术治疗。最近发现：肱骨髁上骨折（SCF）是儿童人群中最常见的创伤性骨折之一，其特征是肱骨远端内侧柱和外侧柱之间的横向骨折。早期研究强烈反对将闭合复位和铸造作为Gartland II型骨折可接受的治疗方式，因为早期病例系列显示并发症发生率高；然而，最近的研究表明效果更好。Gartland II型髁上骨折的最佳治疗方法尚未完全阐明。本文综述了Gartland II型肱骨髁上骨折非手术治疗的适应症、并发症和结果。此外，它表明需要进一步的研究来指导管理这种情况。

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Nonoperative Management of Gartland Type II Supracondylar Humeral Fractures: A Comprehensive Review.

Purpose of review: This review aims to provide a comprehensive analysis of the nonoperative management of Gartland Type II fractures in pediatric patients.

Recent findings: Supracondylar humeral fractures (SCF) are one of the most common traumatic fractures in pediatric populations, characterized as transverse fractures at the distal humerus between the medial and lateral columns. Early studies strongly opposed closed reduction and casting as an acceptable treatment modality for Gartland type II fractures as an early case series showed high rates of complications; however, more recent studies have suggested better outcomes. The optimal management of Gartland Type II supracondylar fractures has yet to be fully elucidated. This review highlights the indications, complications, and outcomes of nonoperative Gartland Type II supracondylar humeral fracture management. Additionally, it demonstrates the need for further research to inform guidelines on managing this condition.

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来源期刊

Current Reviews in Musculoskeletal Medicine ORTHOPEDICS-

CiteScore

7.50

自引率

2.40%

发文量

期刊介绍： This journal intends to review the most significant recent developments in the field of musculoskeletal medicine. By providing clear, insightful, balanced contributions by expert world-renowned authors, the journal aims to serve all those involved in the diagnosis, treatment, management, and prevention of musculoskeletal-related conditions. We accomplish this aim by appointing authorities to serve as Section Editors in key subject areas, such as rehabilitation of the knee and hip, sports medicine, trauma, pediatrics, health policy, customization in arthroplasty, and rheumatology. Section Editors, in turn, select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 20 diverse members suggests topics of special interest to their country/region and ensures that topics are current and include emerging research.