A big scare .. !!! "Supracondylar fracture of the left humerus of my daughter Valerie"

On Saturday, 19, I was on duty at the hospital, when I received a call from my mother in the afternoon, her voice was broken, with tears and desperation, "Valerie's daughter had an accident" and I asked : "What happened mom?" And I did not understand what he was saying to me because, in the midst of such desperation, I could not decipher his words, I told him to calm down and tell me what happened to the child, and he said: "I fell down and broke my arm and feel a lot Pain, "my father was out of town and could not find her to bring her to the hospital, so it was a coincidence and Valerie's father was visiting and he was able to go get her and take her, so that the girl would receive prompt medical attention. On the way to the hospital, my mother told me that Valerie had a lot of signs of pain, she kept crying and crying. When I got there, I noticed her arm. At first I thought it was just a dislocation in her left arm. It's nothing serious thank God. "

Immediately we went to the area of traumatology, where it was attended by one of my colleagues, and with the x-rays of the arm and elbow taken, he realized that it was a Supracondilea Fracture of Left humerus and that his treatment consisted of an emergency surgical intervention . And of course we live in a Venezuela where the emergencies wait, and for that day then only took the arm to its place and placed an immobilization type splint prior placement sedation as the pain and screams of my little girl were huge, Already made the correction that could be done at that moment we decided to place analgesia and take it home to later plan the intervention.

My princess waiting for the consultation with her doctor

That weekend was preceded to carry out all the pre-operative, and by Monday 21, he was taken to the specialist doctor who was on duty that day, who kindly received us and confirmed the importance of performing such surgery Setting for Friday 25 at 8 am, as long as we had at hand the list of materials requested to carry out the intervention, which thanks to God after two days search everywhere and with the help of colleagues achieve complete for that day.

Serving my daughter

The nerves and anxiety of that day are indescribable to see my little girl in her surgical gown her bonnet and just wait to see her sleeping since they took her to the pavilion since, being her mother, I can not go into that intervention, it was the Longer minutes of my life, to see to leave and tell me that everything went well was a huge relief. Although I woke up very painful for my little girl, everything went well, for now it is in recovery and in medical treatment, waiting and thanking God for everything to come out well until now.

But they wonder what is a Supracondilea Fracture of Left Humer ??.

They represent the second most frequent lesion in children aged 3 to 10 years reaching their highest incidence rate at 7 years, being more common in men and in the left arm, this type of fracture is only surpassed in frequency by the distal radius fracture.

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Mechanism of production of this type of fracture.

By extension and flexion; More frequent in 95% of cases and occurs when the child falls with the palm of the hand and elbow in hyperextension, while the flexion fracture occurs when the child falls on the elbow that is in flexion.

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How are these fractures classified?

The classification of the fractures in extension more used at the moment, is the one proposed by Gartland and are:
A.- Type I: not displaced
B.- Type II - displaced but with posterior cortical intact
C. - Type III - displaced with loss of contact of the posterior cortex, these are subdivided into type III-A when the displacement is posteromedial and III-B when it is posterolateral.

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Symptom.

Pain, increased volume of the entire elbow region and difficulty for the elbow's mobility; The pain increases with passive mobility and external pressure.

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Signs.

Increased volume due to edema (which varies in intensity depending on the degree of displacement of the fracture and its evolution time); Deformity of the region due to both the edema and the displacement of the fracture.

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Diagnosis.

X-rays are necessary. These will establish what type of fracture occurred and whether the bones moved from their place.

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Treatment.

Treatment depends on the type of fracture and the degree of displacement. The term displacement refers to the distance that the broken ends of the bones were separated.

NON-Surgical Treatment: If the displacement is very small or there is no displacement, the physician can immobilize the arm in a cast or splint for 3 to 5 weeks. During this time, another x-ray may be needed to determine if the bones remain properly aligned.

Surgical Treatment: If the fracture forced the bones out of alignment, the doctor must manipulate them to return them to their place. Sometimes this can be done without surgery, but more often surgery will be needed. Nails, screws or wires are used to hold the bones in place.

The child should wear a cast for several weeks before the nails are removed. Range-of-motion exercises can usually begin about a month after surgery.

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X-rays of my princess after the operation

The recovery of my daughter will take approximately 2 to 3 months, based on several stages during this same:

1 week supply of strong antibiotic, to prevent infection in the wound.

2 week removal of the wound suture.

3 week retreat of the wires.

4 week retreat of the felula.

And from week 5 will begin the physiotherapies to recover the optimal mobility that a child's arm should have.

With God's favor, everything will work out fine.

Greetings from my beautiful Princess Valerie and @ joha09sohi.