Executive Editor: Fergal Monsell General Editor: Chris Colton

Authors: Andrew Howard, Theddy Slongo

Pediatric distal humerus

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Glossary

Prone position

Advantage

  • Good position for posterior access to the elbow region (eg, Y-fracture)

Disadvantages

  • Use of image intensification is cumbersome
  • Less suitable for children below 6-8 years due to short upper arm
  • More demanding for anesthetist
  • Increased risk of contamination of the hanging hand

This position is unsuitable for closed management of supracondylar fractures, as it is difficult to manipulate the fracture with the patient in a prone position.


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Patient positioning

The patient is positioned prone with the elbow hanging over a radiolucent arm roll.

The elbow should be able to be flexed a little beyond the right angle.

v1.0 2016-12-01