(1) Cubitus varus is the most common long-term complication associated with the radiology finding.
The distal humerus is misaligned in cubitus varus (gunstock deformity), changing the arm and forearm's carrying angle from its physiological valgus alignment (5–15 degrees) to varus malalignment. It has historically occurred up to 30% of the time after supracondylar fractures.
The main issue is its look rather than functional impairment. A supracondylar fracture's misalignment is the cause of this malformation. Varus alignment may develop from the medial column collapsing due to comminution.
It could also happen if the distal shattered piece extends and rotates internally. Typically, this deformity is static and does not change over time.
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A 5-year-old girl presents after falling off a shopping cart, tripping, and then falling onto her right arm. On examination, temp is 98.7, pulse 97, respirations 18, blood pressure 127/80 mm Hg. She is alert, oriented, and in no acute distress. Significant findings related to the right arm, which was mildly swollen, deformed, and diffusely tender. There was decreased range of motion of the right elbow due to pain. Sensation was intact. Pulses are within normal limits bilaterally. A radiographic examination was performed.
What is the most common long-term complication associated with the radiology finding?
1 Cubitus varus
2 Myositis ossificans
3 Median nerve injury
4 Ulnar nerve injury
5 Volkmann contracture
