Neurovascular impingement supracondylar fractures

Relationship to neurovascular structures. The proximal metaphyseal spike penetrates laterally with posteromedially displaced fractures and places the radial nerve at risk. With posterolaterally displaced fractures, the spike penetrates medially and places the median nerve and brachial artery at risk.

Reproduced with permission from: Illingworth KD, Skaggs DL. Closed reduction and percutaneous pinning of supracondylar fractures of the humerus. In: Operative Techniques in Orthopaedic Surgery, 3rd ed, Wiesel SW, Albert T (Eds), Lippincott Williams & Wilkins 2021. Copyright © 2021 Wolters Kluwer Health, Inc.

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