Gartland classification

The Gartland classification is a system of categorizing supracondylar humerus fractures, clinically useful as it predicts the likelihood of associated neurovascular injury, such as anterior interosseous nerve neurapraxia or brachial artery disruption.

Classification
Supracondylar fractures: Gartland classification
Type³ Description[1]
I Non-displaced
II Angulated with intact posterior cortex
IIA Angulation
IIB Angulation with rotation
III Complete displacement but have perisosteal (medial/lateral) contact
IIIA Medial periosteal hinge intact. Distal fragment goes posteromedially
IIIB Lateral periosteal hinge intact. Distal fragment goes posterolaterally
IV Periostial disruption with instability in both flexion and extension

References
  1. Vineet, Kumar; Ajai, Singh (1 December 2016). "Fracture Supracondylar Humerus: A Review". Journal of Clinical and Diagnostic Research. 10 (12): 1–6. doi:10.7860/JCDR/2016/21647.8942. PMC 5296534. PMID 28208961.

Further reading
  • Otsuka, N. Y; Kasser, J. R (1997). "Supracondylar Fractures of the Humerus in Children". The Journal of the American Academy of Orthopaedic Surgeons. 5 (1): 19–26. PMID 10797204.


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