Abstract
To study the incidence of primary and secondary nerve injury in supracondylar fractures of the humerus, and to find out which factors may be responsible for iatrogenic nerve injuries. Retrospective study. University Hospital, The Netherlands. 32 children admitted with type II or type III supracondylar fracture of the humerus. Incidence of primary and secondary nerve injury and their relation to type of fracture and treatment. 3 patients developed primary nerve injuries (9%). 4 further children developed nerve injury during treatment. All these children had several closed reductions attempted before definitive treatment was given (either pinning with a Kirschner wire or overhead traction). Several attempts at closed reduction may cause iatrogenic nerve injury in unstable supracondylar fractures of the humerus.
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