Gartland classification

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Distal humerus fracture
Gartland classification
ICD-10 S42.2-S42.4
ICD-9 812
eMedicine emerg/199  orthoped/271 orthoped/199

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].

Overview[1][2]

The injuries of the ball-and-socket shoulder joint considered as the Distal humerus fracture. It is more common among the elderly population following a low energy trauma such as falling. Meanwhile, A few people experience the axillary nerve damage such as reduced sensation around the middle deltoid and/or axillary artery involvement.


Gartland classification of Distal Humeral Fractures

The Gartland classification of supracondylar fractures of the humerus
Type I no displacement or minimally displaced
  • Ia: undisplaced in both projections
  • Ib: minimal displacement, medial cortical buckle, capitellum remains intersected by anterior humeral line
Supracondylar fracture: Gartland classification
Type II displaced but with intact cortex
  • IIa: posterior angulation with intact posterior cortex; anterior humeral line does not intersect capitellum
  • IIb: rotatory or straight displacement but fracture remains in contact
Type III completely displaced
  • IIIa: complete posterior displacement with no cortical contact
  • IIIb: complete displacement with soft tissue gap (i.e. bone ends held apart by interposed soft tissues)

See also


Template:Fractures


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References

  1. Beeres FJ, Oehme F, Babst R (April 2017). "[Distal humerus fracture-extensile approaches]". Oper Orthop Traumatol (in German). 29 (2): 115–124. doi:10.1007/s00064-016-0474-4. PMID 27921119.
  2. Shearin JW, Chapman TR, Miller A, Ilyas AM (February 2018). "Ulnar Nerve Management with Distal Humerus Fracture Fixation: A Meta-Analysis". Hand Clin. 34 (1): 97–103. doi:10.1016/j.hcl.2017.09.010. PMID 29169602.