In supracondylar fracture pediatrics

In supracondylar fracture pediatrics:

  • anterior interosseous nerve (AIN) neurapraxia (branch of median n.) is the most common nerve palsy seen.
  • Radial nerve palsy is second most common neurapraxia (close second).
  • ulnar nerve palsy is seen with flexion-type.
  • Nearly all cases of neurapraxia following supracondylar humerus fractures resolve spontaneously and further diagnostic studies are not indicated in the acute setting.
  • Rich collateral circulation can maintain circulation despite vascular injury.