![]() Results: We identified 4 coronal (typical transverse, medial oblique, lateral oblique. The fracture is usually transverse or oblique and above the. The fracture resembles the break that results when a supple green branch of a tree is bent and breaks incompletely. Because pediatric extension-type supracondylar humerus fractures vary significantly in terms of characteristics, identification of sagittal oblique and coronal oblique angles may have an important role in surgical decision making and may impact outcomes. Humeral shaft fractures are relatively common, representing approximately 1 to 5 of all fractures. A supracondylar humerus fracture is a fracture of the distal humerus just above the elbow joint. incomplete fracture, with cortical breach of only one side of the bone.This fracture is very different, and much less common, than the torus fracture that results in buckling of the cortex on the concave side of the bend and an intact convex surface. an indirect trauma following a fall on an outstretched arm), or after a force applied perpendicular to the bone (e.g. spiral, comminuted, and oblique fractures have the advantage of generous fracture surface areas and tend to heal rapidly - if displaced with a gap which does. This can occur following an angulated longitudinal force applied down the bone (e.g. radius, and this is usually diaphyseal (either greenstick or complete ). There is usually an accompanying fracture of a paired bone, e.g. There is no fracture line or visible cortical injury. The bowing tends to be fluid and blend into the normal bone at either end. However, the bending force applied does not break the bone completely and the concave surface of the bent bone remains intact. If the view is in the plane of the bow, the bone may appear completely normal 1. Internal oblique views are paramount in identification. and internal oblique radiographs should be obtained when a lateral condyle fracture is suspected. These fractures have been associated with higher energy injuries compared to other elbow fractures. The fact that the integrity of the cortex has been overcome results in fracture of the convex surface. Lateral condyle fractures account for 12-20 of all pediatric distal humerus fractures. Greenstick fractures occur when the force applied to a bone results in bending of the bone such that the structural integrity of the convex surface is overcome.
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