SUPRAKONDİLLER HUMERUS KIRIKLARINDA (GARTLAND TİP 2 VE TİP 3 KIR IKLAR) SINIR YARALANMALARI VE TEDAVİ YÖNETİMİ

Yıl 2018, Cilt: 11 Sayı: 2, 11 - 14, 15.12.2018

Sezai Özkan , Cihan Adanaş

Öz

Suprakondiller humerus kırıkları çoçuklarda en sık görülen
kırıklardır. Suprakondiller humerus kırıkları sonrası sinir yara lan mala rı
%12-20 oranında görülür. Bu çalış mada tedavi edilen Gartland Tip 2 ve Tip 3
suprakondiller humerus kırıklarında sinir yaralanma insidansı ve tedavi
yönetimi ile ilgili deneyimlerin paylaşılması amaçlandı. Bu çalış mada
2015-2017 yılları arasında, suprakondiller humerus kırığ ı nedeniyle opere
edilen hastalar alındı. Suprakondiller humerus kırıkları Gart land sınıfla ma
sistemine göre sınıflandırıld ı. Kırığ ın tipi, hangi cerrahi tedavinin
uygulandığı, sinir yaralanması olup olmadığı ve bu sinir yara lan masının iy
ileş me süresi değerlendirildi. Suprakondiller humerus kırığı Gartland Tip 2 ve
Tip 3 olan toplam 40 hasta çalışmaya alındı. Çalış madaki hastaların 28’i erke
k, 12’si kız hasta idi. Gart land Tip 2 kırığı olan 12 hasta ve Gart land Tip 3
kırığı olan 28 hasta mevcuttu. Sinir yaralanması olan 8 hastadan 3
hastada travma sonrası, 5 hastada ise cerrahi müdahele sonrası sinir hasarı
tesbit edildi. Çalış madan elde edilen veriler doğrultusunda suprakondiller
humerus kırıklarında meydana gelen sinir yaralanmalarının çoğunun 4-6 ay
içerisinde kendiliğinden iyileştiği gözlendi

Anahtar Kelimeler

sinir yaralanması, Humerus, kırık

Nerve injuries and treatment management in supracondils humerus fractures (gartland type 2 and type 3 fractures)

Öz

Supracondylar humerus
fractures are the most common fractures in children. Nerve injuries after
supracondiller humerus fractures are around 12-20%. The aim of this study was
to share our experience with nerve injury incidence and treatment management in
Gartland Type 2 and Type 3 supracondylar humerus fractures. In this study,
patients who were operated for supracondylar humerus fracture between 2015 and
2017 were included. Supracondylar humerus fractures were classified according
to the Gartland classification system. Type of fracture, surgical treatment,
nerve in jury, and recovery time of this nerve injury were evaluated. A total
of 40 patients with Ga rtland Type 2 and Type 3 supracondylar humeral fractures
were included in the study. 28 of the patients were male and 12 were female.
There were 12 patients with Glandland Type 2 fracture and 28 patients with
Gartland Type 3 fractures. Nerve injury occurred in 8 patients. 3 of them had
nerve injury after fracture. 5 patients who had nerve injury occurred after
surgical intervention. According to the data obtained from the study, most of
the nerve injuries occurred in supracondylar humerus fractures spontaneously
recovered in 4-6 months.

Anahtar Kelimeler

Humerus, fracture, nerve injury

Kaynakça

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