Gartland Classification (Supracondylar Humerus Fracture)
Classifies paediatric supracondylar humerus fractures. Guides management: observation vs closed reduction vs ORIF. Neurovascular assessment essential.
Score interpretation
→ Above-elbow backslab for 3-4 weeks; no manipulation needed. Document radial pulse, capillary refill and radial, median (AIN) and ulnar nerve function; absent pulse, poor perfusion, an open injury or threatened skin needs urgent surgery (BOAST 11).
→ Closed reduction under GA; percutaneous K-wire fixation; admit for observation. Document radial pulse, capillary refill and radial, median (AIN) and ulnar nerve function; absent pulse, poor perfusion, an open injury or threatened skin needs urgent surgery (BOAST 11).
→ Closed reduction and fixation with at least two K-wires on the day of injury (BOAST 11). Document radial pulse, capillary refill and radial, median (AIN) and ulnar nerve function; absent pulse, poor perfusion, an open injury or threatened skin needs urgent surgery (BOAST 11).
Interpretation bands for the Gartland Classification. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
- Melatonin · Melatonin Receptor Agonist
- Phytomenadione (Vitamin K1) · Vitamin K (clotting factor cofactor)
- Phytomenadione (Vitamin K1) · Vitamin K (Coagulation Factor Synthesis)
- Ibuprofen (Orthopaedic Musculoskeletal Pain) · NSAID — Non-selective COX Inhibitor
- Co-amoxiclav (Open Fracture Antibiotic Prophylaxis) · Beta-lactam / Beta-lactamase Inhibitor Combination
- Piperacillin-Tazobactam (Polymicrobial Open Fracture Infections) · Extended-spectrum Beta-lactam / Beta-lactamase Inhibitor
- Hip Fracture Pathway · NICE CG124; BPT
- Cauda Equina Syndrome · Society of British Neurological Surgeons; BOA — Best Practice
- Knee Soft Tissue Injury (ACL / MCL / Meniscus) · BOA; Royal College of Surgeons
- Shoulder Dislocation · BOA; RCEM
- Scaphoid Fracture · BOA; BSSH
- Pelvic Fracture · BOA; ATLS; NICE NG39
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.