Nerve Injuries Associated with Supracondylar Humerus Fractures: Incidence, Treatment, and Outcomes

Supracondylar fractures of the humerus (SCHFs) are among the most common extremity fractures in the pediatric population. This study aims to assess the incidence of nerve palsies related to supracondylar humerus fractures in children. A retrospective analysis was performed of 100 pediatric patients who underwent surgical intervention for supracondylar humerus fractures at our clinic between 2021 and 2024, with available postoperative clinical follow-up data. The timing of surgery, sex, presenting symptoms, intraoperative findings, postoperative outcomes—including complications—and follow-up duration were analyzed. Of the 100 patients, 9 had preoperative nerve injuries, and 7 developed postoperative nerve injuries. All cases of postoperative nerve injury had undergone closed reduction. This study highlights that open medial pin placement during surgery may prevent iatrogenic nerve injuries. Collaborative patient management involving orthopedicians, physical therapists, and neurosurgeons can improve outcomes.