Correct Answer: Closed reduction and pinning with 2 or 3 laterally introduced pins of the supracondylar humeral fracture

This is a type II supracondylar fracture. Closed reduction with pin fixation for patients with displaced (Gartland types II and III and displaced flexion) pediatric supracondylar fractures of the humerus is suggested with a strength recommendation of moderate. Open reduction and pinning are not optimal options. Closed reduction and casting of the supracondylar humeral fracture is incorrect because no pins are used. The practitioner might use 2 or 3 laterally introduced pins to stabilize the reduction of displaced pediatric supracondylar fractures of the humerus. Because of potential for harm, surgeons may avoid using a medial pin.

• Source 2015 AAOS OITE
• American Academy of Orthopaedic Surgeons: The Treatment of Pediatric Supracondylar Humerus Fractures. Rosemont, IL: American Academy of Orthopaedic Surgeons, September 2011. Available at http://www.aaos.org/research/guidelines/guide.asp. Accessed September 8, 2015. 
• Mallo G, Stanat SJ, Gaffney J. Use of the Gartland classification system for treatment of pediatric supracondylar humerus fractures. Orthopedics. 2010 Jan;33(1):19. doi: 10.3928/01477447-20091124-08. PMID: 20055347.