Radiographic identification method of safe medial pinning zone and its clinical efficacy in pediatric supracondylar humeral fracture fixation

• Published in: BMC musculoskeletal disorders Vol. 26; no. 1; pp. 723 - 8
• Main Authors: Liu, Hongbin, Zhu, Yong, Hu, Yi, Li, Kaihu, Long, Haitao, Lin, Zhangyuan, Zhao, Ruibo, Sun, Buhua, Zhao, Shushan, Cheng, Liang
• Format: Journal Article
• Language: English
• Published: England BioMed Central Ltd 28.07.2025; BioMed Central; BMC
• Subjects: Adolescent; Bone Nails; Bone Wires; Chi-square test; Child; Child, Preschool; Children; Closed reduction; Complications; Complications and side effects; Computer-assisted surgery; Elbow; Elbow Joint - diagnostic imaging; Elbow Joint - surgery; Female; Fluoroscopy; Fluoroscopy - methods; Fracture Fixation, Internal - adverse effects; Fracture Fixation, Internal - instrumentation; Fracture Fixation, Internal - methods; Fractures; Handedness; Health aspects; Humans; Humeral Fractures - diagnostic imaging; Humeral Fractures - surgery; Humerus; Iatrogenesis; Imaging, Three-Dimensional; Injuries; Internal fixation in fractures; Intraoperative fluoroscopy; Magnetic resonance imaging; Male; Medial pinning; Methods; Patients; Pediatric; Pediatric research; Pediatrics; Radiography, Medical; Retrospective Studies; Software; Supracondylar humeral fracture; Surgery; Treatment Outcome; Ulnar Nerve - diagnostic imaging; Ulnar Nerve - injuries; Ulnar nerve injury; China; Medial pinning; Intraoperative fluoroscopy; Supracondylar humeral fracture; Ulnar nerve injury; Pediatric

Preventing iatrogenic ulnar nerve injury remains a critical challenge during medial pinning in pediatric supracondylar humeral fractures (SCHFs). This study seeks to define a safe zone for medial pin insertion and evaluate its effectiveness in minimizing complications. Three-dimensional reconstructi...