Iatrogenic nerve injuries in the treatment of supracondylar humerus fractures: are we really just missing nerve injuries on preoperative examination?
Background: Recent studies report the rate of iatrogenic nerve injury in operatively treated
supracondylar humerus (SCH) fractures is 3% to 4%. A reliable neurological examination
can be difficult to obtain in a young child in pain. We hypothesized that nerve injuries may be
missed preoperatively, later noted postoperatively in a more compliant patient, and then
falsely considered an iatrogenic injury. Methods: A prospective study was conducted on
patients who presented between April 2011 and April 2013 with an extension-type SCH …
supracondylar humerus (SCH) fractures is 3% to 4%. A reliable neurological examination
can be difficult to obtain in a young child in pain. We hypothesized that nerve injuries may be
missed preoperatively, later noted postoperatively in a more compliant patient, and then
falsely considered an iatrogenic injury. Methods: A prospective study was conducted on
patients who presented between April 2011 and April 2013 with an extension-type SCH …
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