Supracondylar Humerus Fracture Extension Type: Cross Pinning

  • Oussama AbousamraEmail author
  • Christopher IobstEmail author
Living reference work entry


A 5-year-old boy fell from a stool and sustained a left elbow injury. Radiographic evaluation showed a displaced supracondylar fracture of the left elbow. The fracture was closed reduced intraoperatively, and the decision to place two crossed pins was made based on the surgeon’s preference. Although the most commonly used pins configuration is the lateral entry pins, certain fracture patterns or surgeon preference may dictate that crossed pins need to be used.

Follow up visits and radiographic evaluations at 1 week and 4 weeks postoperatively showed the fracture well be aligned with routine healing. The pins were removed at 4 weeks postoperatively and the cast discontinued. At 6 weeks follow up visit, the range of motion was evaluated. The patient demonstrated a full elbow range of motion, and no malalignment was seen.

References and Suggested Readings

  1. Larson L, Firoozbakhsh K, Passarelli R, Bosch P (2006) Biomechanical analysis of pinning techniques for pediatric supracondylar humerus fractures. J Pediatr Orthop 26(5):573–578CrossRefGoogle Scholar
  2. Omid R, Choi PD, Skaggs DL (2008) Supracondylar humeral fractures in children. J Bone Joint Surg Am 90(5):1121–1132CrossRefGoogle Scholar
  3. Pesenti S, Ecalle A, Gaubert L, Peltier E, Choufani E, Viehweger E et al (2017) Operative management of supracondylar humeral fractures in children: comparison of five fixation methods. Orthop Traumatol Surg Res 103(5):771–775CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Orthopaedic SurgeryChildren’s Hospital Los AngelesLos AngelesUSA
  2. 2.Department of Orthopaedic SurgeryNationwide Children’s HospitalColumbusUSA
  3. 3.College of Medicine, Orthopaedic SurgeryOhio State UniversityColumbusUSA

Section editors and affiliations

  • Richard Reynolds
    • 1
  1. 1.Nemours Specialty Care PensacolaPensacolaUSA

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