Author/Authors :
Carlos Figueiredo Fernandes Junior, José Universidade Federal de São Paulo, São Paulo, SP, Brazil , Milan, Vardasca Hospital Angelina Caron - Campina Grande do Sul, PR, Brazil , Augusto Martins Ferreira Ribeiro, Helio Hospital Marieta Konder Bornhausen, Itajaí, SC, Brazil , Elisa Stein, Helena Hospital Dr Jesser Amarante Faria, Joinville, SC, Brazil , Carmargo Ribas Filho, Hamilton Canhoto Carula, Beatriz Hospital Dr Jesser Amarante Faria, Joinville, SC, Brazil
Abstract :
Objective: To analyze the epidemiological profiles of children
with orthopedic distal humerus fractures. Methods: An ana-
lytical descriptive study was conducted with a retrospective
approach using medical records of 665 orthopedic children
who attended the Jesser Amarante Faria Children’s Hospital, a
reference hospital in the city of Joinville, Santa Catarina, between
June 2012 and December 2016. Results: The results showed a
predominance of male patients (64.2%), with a mean age of 7
years, and the age group of 6–10 years being the most frequent
with 319 patients (48%). The main mechanism of trauma was fall
of height in 59.7% of patients, Gartland type 1 fracture in 57.1%,
and absence of vascular injury in 99.7%. Conservative manage-
ment was implemented in 64.7% (95%) of patients. Absence of
neurological lesion (95.6%) and closed lesion (99.4%) were the
main epidemiological characteristics of patients in the study.
A low complication rate was observed, with reduction losses in
1.7% of patients, followed by infections in 1.1%. Conclusion: We
can conclude that the cases studied presented epidemiological
characteristics similar to those described in the literature. Level
of evidence IV, Description of a case series, with analysis of
results, without a comparative study
Keywords :
Humeral fractures , Supracondylar , Elbow fracture , Pediatric
