(Un)importance of physical therapy in treatment of displaced supracondylar humerus fractures in children

Sinisa Ducic, Marko Bumbasirevic, Vladimir Radlovic, Zoran Bukumiric, Bojan Bukva, Dusan Abramovic


Elbow joint stiffness is a common complication following supracondylar humerus fractures. In prospective study, dynamics of establishing a full range of motion in the elbow joint following the treatment of supracondylar humerus fractures were assessed, together with the effects of physical therapy on improvement in the range of motion.

Two groups of patients were observed. Physical therapy was administered to the first group, comprised of 25 patients. The second group, comprised of 28 patients, underwent no physical therapy.

In the first few months following treatment, the range of motion was significantly greater in the patients who had undergone physical therapy, but after 12 months, the range of motion was almost equal in the two groups.

This study has shown that it takes about 12 months to establish a full range of motion after the injury, and that it is not necessary to apply physical therapy in patients with elbow fractures.


elbow fracture; children; joint stiffnes; flexion; extension; physical therapy


Gurkan V, Orhun H, Akça O, Ercan T, Ozel S. Treatment of pediatric displaced supracondylar humerus fractures by fixation with two cross K-wires following reduction achieved after cutting the triceps muscle in a reverse V-shape. Acta Orthop Traumatol Turc 2008; 42: 154-60.

Mangwani J, Nadarajah R, Paterson JM. Supracondylar humeral fractures in children: ten years' experience in a teaching hospital. J Bone Joint Surg 2006; 88-B: 362-5.

Topping RE, Blanco JS, Davis TJ. Clinical evaluation of crossed- pin versus lateral-pin fixation in displaced supracondylar humerus fractures. J Pediatr Orthop. 1995; 15: 435-9.

Shrader MW. Pediatric supracondylar fractures and pediatric physeal elbow fractures. Orthop Clin North Am. 2008; 39: 163-71.

Otsuka NY, Kasser JR. Supracondylar fractures of the humerus in children. J Am Acad Orthop Surg. 1997; 5: 19-26.

Dameron TB Jr. Transverse fractures of distal humerus in chil- dren. Instr Course Lect. 1981; 30: 224-35.

Flynn JC, Matthews JG, Benoit RL. Blind pinning of displaced supracondylar fractures of the humerus in children: sixteen years’ experience with long-term follow-up. J Bone Joint Surg Am. 1974; 56: 263-72.

Wang YL, Chang WN, Hsu CJ, Sun SF, Wang JL, Wong CY. The recovery of elbow range of motion after treatment of supracondylar and lateral condylar fractures of the distal humerus in children. J Orthop Trauma. 2009; 23: 120-5.

Zionts LE, Woodson CJ, Manjra N, Zalavras C. Time of return of elbow motion after percutaneous pinning of pediatric supracondylar humerus fractures. Clin Or- thop Relat Res. 2009; 467: 2007-10.

Keppler P, Salem K, Schwarting B, Kinzl L. The effectiveness of physiotherapy after operative treatment of supracondylar humeral fractures in children. J Pediatr Orthop. 2005; 25: 314-6.

Gartland JJ. Management of supracondylar fractures of the humerus in children. Surg Gynecol Obstet 1959; 109: 145-54.

Lee S, Park MS, Chung CY, Kwon DG, Sung KH, Kim TW, Choi IH, Cho TJ, Yoo WJ and Lee KM. Consensus and Different Perspectives on Treatment of Supracondylar Fractures of the Humerus in Children. Clin Orthop Surg. Mar 2012; 4(1): 91-7.

Spencer HT, Wong M, Fong YJ, Penman A and Silva M. Prospective Longitudinal Evaluation of Elbow Motion Following Pediatric Supracondylar Humeral Fractures. J Bone Joint Surg Am. 2010; 92: 904-10.

Divjakovic M, Mikov A, Gajdobranski Dj, Pilipovic M. Effect of physical therapy on treatment of contactures of elbow after supracondylar humerus fractures in children. Medicina danas 2009; 8(10-12): 39.

Arena S, Vermiglio G, Terranova A, Vermiglio M, Arena P. Trattamento ortopedico e riabilitativo nelle fratture sovracondiloidee di omero in età evolutiva. Acta Chirurgica Mediterranea, 2006, 22: 169-73.


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