Gartland classification

The Gartland classification is a system of categorizing supracondylar humerus fractures, clinically useful as it predicts the likelihood of associated neurovascular injury, such as anterior interosseous nerve neurapraxia or brachial artery disruption.

Classification

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Supracondylar fractures: Gartland classification
Type³ Description[1]
I Non-displaced
II Angulated with intact posterior cortex
IIA Angulation
IIB Angulation with rotation
III Complete displacement but have perisosteal (medial/lateral) contact
IIIA Medial periosteal hinge intact. Distal fragment goes posteromedially
IIIB Lateral periosteal hinge intact. Distal fragment goes posterolaterally
IV Periostial disruption with instability in both flexion and extension

References

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  1. ^ Vineet, Kumar; Ajai, Singh (1 December 2016). "Fracture Supracondylar Humerus: A Review". Journal of Clinical and Diagnostic Research. 10 (12): 1–6. doi:10.7860/JCDR/2016/21647.8942. PMC 5296534. PMID 28208961.

Further reading

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  • Otsuka, N. Y; Kasser, J. R (1997). "Supracondylar Fractures of the Humerus in Children". The Journal of the American Academy of Orthopaedic Surgeons. 5 (1): 19–26. PMID 10797204.
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