Clinical imaging · UKMLA & AKT
Supracondylar fractures of the humerus
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise supracondylar fractures of the humerus — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- Typical patient: child after fall from height (playground, bicycle) - FOOSH with elbow in extension
- Severe elbow pain, rapid swelling, inability to move arm
- Visible S-shaped/bayonet deformity in severe displacement (Types III-IV)
- Neurovascular exam - check radial pulse, capillary refill, AIN (OK sign), median, radial, ulnar nerve function
A 'pink pulseless hand' (warm hand, CRT <2 s, absent radial pulse) still requires urgent joint orthopaedic and vascular surgical review - collateral circulation may maintain perfusion temporarily.
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