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Appropriate Use Criteria
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Appropriate Use Criteria
2020-01-08T18:06:15+00:00
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GUIDELINE
APPROPRIATE USE CRITERIA: PEDIATRIC SUPRACONDYLAR HUMERUS FRACTURES (2014)
INDICATION PROFILE
Fracture Type
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Scenarios deleted due to clinical rarity:
All patient scenarios with Type I fractures and vascular injuries
All patient scenarios with Type I fractures and nerve injuries
All patient scenarios with Type 1 and Type 2 and open injuries
All patient scenarios with Transphyseal fractures and open injuries
Type 1 - nondisplaced
Type 2 - extension type with cortical continuity of posterior cortex
Type 2 - extension type with cortical continuity of posterior cortex with varus/valgus angulation
Type 3 - extension type with no cortical continuity
Transphyseal fracture
Flexion Type Fracture
Vascular Status (Pre-op assessment)
Non-perfused hand (one that is cold, white, and capillary refill > 3 seconds) without palpable distal pulse
Perfused hand (one that is warm, pink, and capillary refill < 3 seconds) without palpable distal pulse
Perfused hand (one that is warm, pink, and capillary refill < 3 seconds) with palpable distal pulse
Nerve Injuries
Associated nerve injury present
Associated nerve injury absent
Soft Tissue Envelope
Open soft tissue envelope - Appears uncontaminated
Open soft tissue envelope - Concern for contamination and/or significant soft tissue injury
Closed soft tissue envelope
Ipsilateral radius and/or ulna fracture
Ipsilateral radius and/or ulna fracture present
Ipsilateral radius and/or ulna fracture absent
Degree of Swelling
Typical swelling
Severe swelling, ecchymosis, and/or pucker sign indentation of skin at the fracture site
PROCEDURE RECOMMENDATIONS
Treatment recommendations are not available for this patient scenario.
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