Pediatric Supracondylar Humerus Fractures

Early discharge of pediatric patients from clinic after fracture healing, cast removal, and mobilization of supracondylar humerus fractures is a feasible, yet underutilized practice. Most patients who returned to clinic after mobilization did not present any concerns of stiffness or loss of function and were discharged during the same visit. Our findings suggest that for patients with uncomplicated fractures (Gartland I-III), early discharge after mobilization may be acceptable if no immediate complications are identified. However, it is crucial to advise patients and their families to seek follow-up care if a significant functional deficit or a change in recovery is observed in the injured arm after discharge. All red flags are discussed with the families during their follow-up visit.

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Publication Details

Journal
Journal of Pediatric Orthopaedics
Published
2025-11-07
DOI
https://doi.org/10.1097/bpo.0000000000003155
Primary Topic
Elbow and Forearm Trauma Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

Pediatric Supracondylar Humerus Fractures

Nikolaos K. Paschos, Lenice Yue Tong Tan, J Massoud, Tamara Muñoz et al.
Journal of Pediatric Orthopaedics
Elbow and Forearm Trauma Treatment
article

Pediatric Supracondylar Humerus Fractures

Nikolaos K. Paschos, Lenice Yue Tong Tan, J Massoud, Tamara Muñoz, Suzanne V. Arnold, Wei Shao Tung, Thuan V. Ly, Kristen Reikersdorfer
article en

Abstract

Early discharge of pediatric patients from clinic after fracture healing, cast removal, and mobilization of supracondylar humerus fractures is a feasible, yet underutilized practice. Most patients who returned to clinic after mobilization did not present any concerns of stiffness or loss of function and were discharged during the same visit. Our findings suggest that for patients with uncomplicated fractures (Gartland I-III), early discharge after mobilization may be acceptable if no immediate complications are identified. However, it is crucial to advise patients and their families to seek follow-up care if a significant functional deficit or a change in recovery is observed in the injured arm after discharge. All red flags are discussed with the families during their follow-up visit.

Journal of Pediatric Orthopaedics
National University of Singapore (SG), Massachusetts General Hospital (US), Orthopaedic Trauma Association (US)
Openalex Percentile: Top 60%
Elbow and Forearm Trauma Treatment
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