orthopaedics paediatrics
Gartland Classification (Supracondylar Humerus Fracture)
Classifies paediatric supracondylar humerus fractures. Guides management: observation vs closed reduction vs ORIF. Neurovascular assessment essential.
Score interpretation
Gartland Type I: Non-displaced
→ Above-elbow backslap for 3-4 weeks; no manipulation needed
Gartland Type II: Angulated
→ Closed reduction under GA; percutaneous K-wire fixation; admit for observation
Gartland Type III-IV or neurovascular compromise
→ Emergency theatre; closed reduction + K-wire fixation; if pulseless: ortho + vascular emergency
Interpretation bands for the Gartland Classification. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- 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
Pathways
- 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.