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Fracture of distal end of
humerus
supra chondylar
condylar
intercondelar
Supra condelarfracture
usually in distal humers above
epicondly
divided into part;
-anterio part(flextion typ)
-posterior part(extension typ)
Feature of supra chondelar
follw fall down feel painful,also have
tenerness , swolling ,,tender ness,
also have deformites
-lateral and medial epicondly and olcranon
normal triangler ship when fracture occure
dis loctionfrom elbow
Complicated
ealy complicated;
vascular injure
nerve in jure
late complicated;
myositosis
stiffness
malunion
late ulnar nerve palsy
cabitus varus-vagus deformite
Treatment
anterior part;
reduce pulling th arm with elbow fully
extented.
Immoblized by plaster
with extented for 3 week
follw grad ullay flextion
Posterior
reduction;
flextion el bow 80 while pushed for
word with his thump
-immoblized;callor and cuff is
applied
-rehabilition
we need for 3 week without any
activity
condylar
open redue
internal fixaton when fracture
medial and lateral condylar
Intercondylar
seperated medial and lateral
from each other rotation down
word and up word
Treatment
open reduce internal faxition for
yongadult
bag bone for elderly patient
Thank you

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supracondylar fracture