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
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

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.

External links

• Orthobullets