Flexion type (4%)QNerve Injury:MC nerve to be injured: Median nerve (Anterior interosseous branch) > Radial > UlnarQMC nerve to be injured in flexion type of supracondylar fracture: Ulnar nerveQVessel Injury:MC vessel to be injured: Brachial arteryMC immediate complication: Brachial artery injuryQOn Examination:Unusual posterior prominence over point of elbow ( tip of olecranon)QThree point bony relationship: Maintained with respect to each other but not with respect to shaft of humerusQComplications:MC complication/ delayed complication: Cubitus varus deformity or gun stock deformity in malunionQCubitus varus deformity or gun stock deformity is managed by French osteotomyQComplication of Colie's Fracture* Joint Stiffness- Finger stiffness is MC complicationQ- Wrist, elbow. & shoulderQ are other joints to become stiff.* Malunion is 2nd MC complicationQ & it leads to dinner fork deformity* Sudeck's osteodystrophy / Reflex sympathetic dystrophy:- It is quite common but seldom progress to full-blown picture of sudeck's atrophy.- Code's fracture is the commonest cause of sudeck's dystrophy in upper limbQ.* Shoulder Hand Syndrome:- Characterized by a swollen, painful, stiff hand and a 'frozen shoulder'.* Rupture of extensor pollicis longus tendonQ* Carpal tunnel syndrome causing median nerve compressionQ.* Carpal instabilityQ* Triangular-fibrocartilage complex injuryQ and * bluxation of inferior radioulnar joint* Delayed union and nonunion are extremely rare. Complications of Epicondyle FractureLateral Epicondyle FractureMedial Epicondyle Fracture* Nonunion & malunion: If the condyle is left capsized, nonunion is inevitable; with growth, elbow becomes increasingly valgus & tardy ulnar nerve palsy is then likely to develop.* The fracture is a Salter-Harris Type IV injury and so imperfect reduction can result in growth arrest.* Recurrent dislocation: Occasionally condylar displacement results in posterolateral dislocation of elbow.* Early:- Lateral dislocation of elbow occasionally occurs with a severe valgus strain & avulsion of medial condyle.- Ulnar nerve damage is not uncommon, but recovery is usual unless nerve is left kinked in joint.* Late:- Stiffness of elbow is common & extension often- limited for months. InjuryCommon nerve involvedSurgical neck of humerus* Axillary nerveQShaft of humerus* Radial nerveQMedial condyle of humerus* Ulnar nerveQMonteggia fracture dislocation* Posterior interosseus nerveQVolkmann's ischemic contracture* Anterior interosseus nerveQLunate dislocation* Median nerveQHip dislocation* Sciatic nerveQ">