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• W2199565249 abstract "HypothesisThe purpose of this study is to prospectively evaluate the relationship between neurologic deficit at presentation and functional outcome in children with supracondylar humerus fractures (SCHFX) using validated outcome measures. We hypothesized that patients with nerve injury would have decreased functional outcomes compared to those who did not sustain nerve injuries.MethodsAn IRB approved prospective enrollment of consecutive patients with operative SCHFX was performed over a 3-year period. Among other injury parameters, the presence and type of any neurologic deficit was documented by the treating surgeon at presentation and throughout the follow-up period. Functional outcome was assessed at final follow-up using the Pediatric Outcomes Data Collection Instruments (PODCI) and the quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) Outcome Measure. Multiple regression analysis was used to determine the relationship between the presence/type of nerve injury and functional outcome while controlling for other injury parameters including patient age, fracture classification, fracture pattern, vascular abnormality and presence of an open fracture.Results752 patients were enrolled during the study period of which 199 (average age 6.7 years) completed functional outcome measures at final follow-up. Of these, 22 (11%) patients had a neurologic deficit at the time of initial presentation with 25 nerve injuries noted: 10 (40%) anterior interosseous nerve (AIN) deficits, 5 (20%) posterior interosseous nerve (PIN) deficits, 4 (16%) ulnar nerve deficits, 3 (12%) median nerve deficits, and 3 (12%) radial nerve deficits. As a group, patients with neurologic injury demonstrated significantly lower There were no significant differences in outcomes scores when comparing different types of nerve injuries. All nerve injuries resolved without further intervention with no residual nerve deficits in at final follow-up.Summary Points•In children with operative SCHFX, the presence of a nerve deficit at presentation is predictive of poorer outcomes with regards to pain, function, mobility and satisfaction at final follow-up despite complete spontaneous resolution.•This is the first study to prospectively determine an association between neurologic deficit and functional outcome using validated outcome measures following the operative treatment of children with SCHFX. HypothesisThe purpose of this study is to prospectively evaluate the relationship between neurologic deficit at presentation and functional outcome in children with supracondylar humerus fractures (SCHFX) using validated outcome measures. We hypothesized that patients with nerve injury would have decreased functional outcomes compared to those who did not sustain nerve injuries. The purpose of this study is to prospectively evaluate the relationship between neurologic deficit at presentation and functional outcome in children with supracondylar humerus fractures (SCHFX) using validated outcome measures. We hypothesized that patients with nerve injury would have decreased functional outcomes compared to those who did not sustain nerve injuries. MethodsAn IRB approved prospective enrollment of consecutive patients with operative SCHFX was performed over a 3-year period. Among other injury parameters, the presence and type of any neurologic deficit was documented by the treating surgeon at presentation and throughout the follow-up period. Functional outcome was assessed at final follow-up using the Pediatric Outcomes Data Collection Instruments (PODCI) and the quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) Outcome Measure. Multiple regression analysis was used to determine the relationship between the presence/type of nerve injury and functional outcome while controlling for other injury parameters including patient age, fracture classification, fracture pattern, vascular abnormality and presence of an open fracture. An IRB approved prospective enrollment of consecutive patients with operative SCHFX was performed over a 3-year period. Among other injury parameters, the presence and type of any neurologic deficit was documented by the treating surgeon at presentation and throughout the follow-up period. Functional outcome was assessed at final follow-up using the Pediatric Outcomes Data Collection Instruments (PODCI) and the quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) Outcome Measure. Multiple regression analysis was used to determine the relationship between the presence/type of nerve injury and functional outcome while controlling for other injury parameters including patient age, fracture classification, fracture pattern, vascular abnormality and presence of an open fracture. Results752 patients were enrolled during the study period of which 199 (average age 6.7 years) completed functional outcome measures at final follow-up. Of these, 22 (11%) patients had a neurologic deficit at the time of initial presentation with 25 nerve injuries noted: 10 (40%) anterior interosseous nerve (AIN) deficits, 5 (20%) posterior interosseous nerve (PIN) deficits, 4 (16%) ulnar nerve deficits, 3 (12%) median nerve deficits, and 3 (12%) radial nerve deficits. As a group, patients with neurologic injury demonstrated significantly lower There were no significant differences in outcomes scores when comparing different types of nerve injuries. All nerve injuries resolved without further intervention with no residual nerve deficits in at final follow-up. 752 patients were enrolled during the study period of which 199 (average age 6.7 years) completed functional outcome measures at final follow-up. Of these, 22 (11%) patients had a neurologic deficit at the time of initial presentation with 25 nerve injuries noted: 10 (40%) anterior interosseous nerve (AIN) deficits, 5 (20%) posterior interosseous nerve (PIN) deficits, 4 (16%) ulnar nerve deficits, 3 (12%) median nerve deficits, and 3 (12%) radial nerve deficits. As a group, patients with neurologic injury demonstrated significantly lower There were no significant differences in outcomes scores when comparing different types of nerve injuries. All nerve injuries resolved without further intervention with no residual nerve deficits in at final follow-up. Summary Points•In children with operative SCHFX, the presence of a nerve deficit at presentation is predictive of poorer outcomes with regards to pain, function, mobility and satisfaction at final follow-up despite complete spontaneous resolution.•This is the first study to prospectively determine an association between neurologic deficit and functional outcome using validated outcome measures following the operative treatment of children with SCHFX. •In children with operative SCHFX, the presence of a nerve deficit at presentation is predictive of poorer outcomes with regards to pain, function, mobility and satisfaction at final follow-up despite complete spontaneous resolution.•This is the first study to prospectively determine an association between neurologic deficit and functional outcome using validated outcome measures following the operative treatment of children with SCHFX." @default.
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• W2199565249 date "2015-09-01" @default.
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• W2199565249 title "Nerve Injury Predicts Functional Outcomes in Pediatric Supracondylar Humerus Fractures: A Prospective Study" @default.
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