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

Type³Description
INon-displaced
IIAngulated with intact posterior cortex
IIAAngulation
IIBAngulation with rotation
IIIComplete displacement but have perisosteal contact
IIIAMedial periosteal hinge intact. Distal fragment goes posteromedially
IIIBLateral periosteal hinge intact. Distal fragment goes posterolaterally
IVPeriostial disruption with instability in both flexion and extension