Tratamiento de las fracturas supracondíleas de húmero en la población pediátrica

Abstract

Introduction. Supracondylar humerus fractures are those that originate from loss of continuity in the distal humerus above the condyles, especially affecting the pediatric population between 5 and 7 years of age, representing up to 18% of all fractures and 60 % in relation to the elbow, most are simple fractures, but some can be complicated by nerve injuries or compartment syndrome, they are classified according to their severity into four types and their management depends on it, to preserve motor and sensory function. Objective. To describe the treatment of supracondylar humerus fractures in the pediatric population through the systematic review of updated scientific articles for the appropriate treatment, according to the type and severity. Methodology. Descriptive, documentary study, through a bibliographic review in the scientific bases of SCIELO, PUBMED, MESH, Google Scholar; in relation to treatment of supracondylar fractures of the humerus in the pediatric population. Conclusion. The modified Gartland radiological classification is the most widely used tool for the diagnosis of FSH, and treatment is oriented depending on the fracture pattern, so that, in grades I and II, management is conservative and, in the case of fractures with more complex grades III and IV, surgical intervention is required to anatomically align the bone structures and avoid nerve damage.