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Pediatric Supracondylar Humerus Fractures: When to Refer, When to Manage Non-Operatively in Yemeni Hospitals? 9f0f8

Mutahar Al-Eryani
Jul 24, 2025
1792 views
4 replies
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Mutahar Al-Eryani
Member
Joined Jul 2025
Jul 24, 2025 4:25 PM
Original Post
Dear Pediatric Orthopedists, I'm seeking guidance on the management of pediatric supracondylar humerus fractures, specifically regarding the decision-making process for when to manage non-operatively versus when to refer for surgical fixation in Yemeni hospitals. What are the critical radiographic signs or clinical parameters that tip the balance towards intervention? Any tips for closed reduction techniques in challenging cases? Thank you for your insights.
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Ammar Al-Hashimi
Member
Jul 24, 2025 4:25 PM
#2
From a public health perspective in Yemen, such dilemmas highlight the need for stronger primary prevention programs to reduce the burden of preventable orthopedic conditions, thereby freeing up resources for more urgent cases. Advocacy for increased healthcare funding is also crucial.
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Yasin Rahmah
Member
Jul 24, 2025 4:25 PM
#3
Tele-rehabilitation for ACL patients has been a game-changer for us, especially in remote areas of Yemen. Patient compliance has actually improved because it removes transportation barriers. It requires a good internet connection and patient commitment, but the benefits outweigh the challenges.
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Yaser Rahmah
Jul 24, 2025 4:25 PM
#4
While PRP shows promise, I remain cautious for full-thickness tears due to inconsistent evidence, especially in our setting. Physical therapy remains paramount. For partial tears, it might be an adjunctive therapy, but shouldn't replace a solid rehabilitation plan.

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