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Emergency Medicine Questions (EMQs)
Miscellanea
Theme: Paediatric orthopaedics: the supracondylar fracture
  1. Michael Davey1,2,
  2. Sharad Pandit1
  1. 1Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia
  2. 2Division Acute Care Medicine, University of Adelaide, South Australia
  1. Correspondence to Michael Davey, Emergency Department, Royal Adelaide Hospital, Adelaide, South Australia; michael.davey{at}health.sa.gov.au

https://doi.org/10.1136/emj.2010.108175

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    Question 1

    Which of the following are true regarding supracondylar fractures in children?

    1. The flexion-type supracondylar fracture of the elbow is one of the most common fractures in children.

    2. Peak incidence is in children aged 5–10 years old.

    3. The median nerve is the most commonly injured.

    4. Most supracondylar fractures in toddlers are caused by accidental trauma rather than abuse.

    Question 2

    Which of the following are true regarding diagnosis and radiological signs of supracondylar fracture?

    1. Use of the anterior humeral line intersecting the capitellum on lateral x-ray of the elbow as a diagnostic tool for supracondylar fractures may be less reliable in a child aged 2.5 years than in a child aged 10 years.

    2. Twenty-five per cent are ‘greenstick’, in which the posterior cortex remains intact.

    3. The presence of a posterior fat pad sign in a child with a painful elbow post injury is …

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    Footnotes

    • Provenance and peer review Not commissioned; not externally peer reviewed.