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McGraw John J. Major U.S.A.F. M.C.; Akbarnia, Behrooz A. M.D.; Hanel, Douglas P. M.D.; Keppler, Louis M.D.; Burdge, Robert E. M.D.
Journal of Pediatric Orthopaedics: November 1986
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Summary

One hundred thirty-eight children with supracondylar fractures of the humerus were reviewed. Seventeen (12%) exhibited neurological deficits. Nine median, four ulnar, and four radial neuropathies were encountered. The neurological deficit was treated expectantly. The osseous injury was treated by a variety of methods. All patients except two recovered spontaneously in an average of 9 weeks. One patient was still improving at 9 months' follow-up. Another patient with radial neuropathy underwent exploration 6 months after injury and was found to have a transected radial nerve. This study demonstrates that neurological deficits from supracondylar humeral fractures remain common, involve all three major nerves of forearm, and, with rare exception, recover with conservative therapy.

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