![]() ![]() This fracture typically occurs in children between 4 and 10 years of age and is a potential cause of significant morbidity and deformity in the acute and chronic setting respectively. After an elbow injury, these fractures account for about two-thirds of in-patient admissions in children that require surgery. Supracondylar fractures of the humerus (SCH) are widely regarded as the most common fractures around the elbow of a child, and account for around 50–70% of all paediatric elbow fractures. It is important to understand that operative management of each supracondylar humerus fracture is unique as regards fixation method and it is important to consider the fracture pattern before internal fixation. Other classification systems like the AO classification, Lagrange and Rigault classification and Bahk classification with special reference to special fracture patterns that require attention and pre-op planning have also been mentioned. We have tried addressing this using a classification-based treatment algorithm. ![]() The management of type II supracondylar humerus fracture creates confusion in the minds of numerous orthopaedic surgeons around the world. ![]() Non-operative treatment for type I fractures and operative treatment for type III fractures have been well-established in literature. Currently, the decision to operate or conserve the fracture is taken on basis of this classification system. All around the world, the most commonly used classification system is the Wilkins-modified Gartland classification of supracondylar humerus fractures. The treatment of supracondylar humerus fractures can vary from conservative treatment to operative treatment depending on the fracture type. Supracondylar humerus fractures are the most common fractures around the elbow in children between 4 and 10 years of age. ![]()
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