Non-union supracondylar humerus fracture in children

Abstract

Supracondylar humerus fracture in children is very common. They are the most common elbow fractures in children [1, 2]. They vary from minimal displacement to gross displacement. They are divided into flexion and extension type, the later being the most common comprising 97% to 99% [3]. Gartland classified the extension type into type I, type II and type III depending on the amount of displacement [4]. Majority of the fractures are managed by closed reduction, sometimes supplemented by K-wires. Very less numbers with gross displacement and neurovascular compromise require open reduction. Almost all the fractures unite rendering non-union very rare. There are only few cases of non-union reported in the literature [5]. Mostly they are following open reduction of the fracture where devascularisation and infection may contribute to non-union. We are presenting a case of a 10 years boy with supracondylar fracture humerus with non-union after two years of the incident.