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April 23, 2026Journal of the Pediatric Orthopaedic Society of North AmericaOpen Access

Nerve Injuries Following Pediatric Supracondylar Humerus Fractures–Systematic Review and Meta-Analysis

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Authors

JJJ. Terrence Jose JeromeGSG. SurendranTKThirumagal KTrichy SRM Medical College Hospital and Research Centre

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Implication

Systematic review demonstrates 11% incidence of nerve palsy in pediatric supracondylar humerus fractures, suggesting effective management strategies.

Key Points

  • This research aims to analyze the incidence, patterns, and management of nerve injuries resulting from pediatric supracondylar humerus fractures.
  • Conducted a systematic review following the PRISMA 2020 guidelines.
  • Included studies reporting nerve injury incidence and neurological outcomes in pediatric SCHF.
  • Conducted random-effects meta-analysis to pool proportions of nerve injuries.
  • Found an overall incidence of any nerve injury at 11.3% among pediatric SCHF.
  • Traumatic nerve injuries predominated, with the median/AIN complex most affected at 59.7%.
  • Iatrogenic nerve injury occurred in 3.7% of cases, primarily involving the ulnar nerve.

Cite This Study

Jerome et al. (2026) studied this question.

synapsesocial.com/papers/69e9b71b85696592c86eb319https://doi.org/10.1016/j.jposna.2026.100377
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Closed Reduction and Percutaneous Pinning for Type III Displaced Supracondylar Fractures of the Humerus in Children1995 · 192 citations
  2. 2Complications and Predictors of Need for Return to the Operating Room in the Treatment of Supracondylar Humerus Fractures in Children2015 · 64 citations
  3. 3Iatrogenic ulnar nerve palsy associated with supracondylar humeral fracture in children: A systemic review on its management2023 · 2 citations
  4. 4Neurovascular injury from supracondylar fractures in children: a 10-year experience of 762 cases2023 · 12 citations
  5. 5Nerve injuries associated with supracondylar fractures of the humerus in children2016 · 51 citations