Aims: The objective of this research is to evaluate the long term functional outcome of the upper extremity after SCHF in children related to age, sex, left or right extremity, Gartland type, and intervention (operative/non-operative). Methods: 72 patients who presented to Sardjito general hospital emergency department unit with SCHF between December 2011 and December 2013 retrospectively reviewed for the functional outcomes. We reviewed their charts to assess several clinical parameters, including age, sex, left or right extremity, Gartland type, and intervention. The DASH questionnaire was administered in September 2014. We performed an analysis of variants (ANOVA) to determine the significance of these clinical parameters as they related to the DASH score for functional outcome.

Results: From 72 patients, 71 meet the pediatric criteria and only 34 patients that respond to the interview for obtaining DASH score. Pediatric SCHF has good functional outcomes based on the DASH questionnare (mean score 1.59 ± 1.67). We obtained the following DASH scores: 1.70 ± 2.26 for type I, 1.125 ± 1.36 for type II and 1.75 ± 1.44 for type III fractures. There was no statistical difference in functional outcome, regardless of sex (p = 0.673), age at injury (p = 0.173), right/ left extremity (p = 0.463) or surgery (p = 0.760).

Conclusion: The functional outcomes after supracondylar fractures in children at Sardjito General Hospital is good based on the scoring system by DASH questionnaire. Gartland type classification, age at injury, sex, side of extremity injured, intervention, have no significance statistical differences. All patients achieved and maintained satisfactory reduction.

Keywords: Children, DASH score, Functional outcome, Supracondylar humeral fracture