Gartland classification
Trauma and orthopaedics
Also known as: Gartland-Klassifikation (suprakondyläre Humerusfraktur) · Gartland sınıflaması (suprakondiler humerus kırığı) · Gartland classification (supracondylar humerus fractures in children)
What it is for
Grades extension-type supracondylar humerus fractures in children by displacement on the lateral radiograph; flexion-type fractures are classified separately.
Classification
| Category | Description |
|---|---|
| Type I | undisplaced or minimally displaced; the anterior humeral line still passes through the capitellum; a posterior fat pad may be the only sign. |
| Type II | displaced with an intact posterior cortex (hinge); the anterior humeral line passes in front of the capitellum. IIA: no rotation or translation; IIB: with rotation or translation, fragments still in contact. |
| Type III | completely displaced, no cortical contact. |
| Type IV (Leitch) | complete loss of the periosteal hinge, unstable in both flexion and extension; usually recognised during reduction under anaesthesia. |
Source
Management of supracondylar fractures of the humerus in children
Surg Gynecol Obstet 1959;109:145–154 (Gartland JJ)
PMID: 13675986
- Edition
- Gartland 1959, modified by Wilkins 1984 (IIA/IIB) and Leitch 2006 (type IV)
- Checked on
Summary of the published classification in our own words. Not a substitute for the original publication.
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