Modern surgical techniques (e.g., closed reduction with percutaneous pinning) have reduced this frequency of angular deformities from 58% to approximately 3%. In most cases, accepting a fracture position in which the capitellum is posterior to the anterior humeral line on the lateral view cannot be reliably predicted to remodel, and the child is likely to permanently end up with less flexion and greater extension of the affected arm. This is predisposed to the development of angular deformities after a SCH. The distal humerus physis, in contrast to the proximal humeral physis, contributes only to 15 to 20% of the overall longitudinal growth of the humerus. In addition, compartment syndrome may develop in the first 12-24 hours especially if when trauma causes vascular injury and primary swelling. The most common type of nerve injury is neuropraxia, which usually resolves within 8-12 weeks. Ulnar nerve injuries are commonly associated with a flexion type SCH. Anterior interosseous nerve (AIN) most common nerve injury followed by radial nerve. The frequency of neurologic deficit after a SCH in pediatric has been reported 10 to 20% it increases with type III SCH (Gartland’s classification) to 49%. It frequently occurs in the non- dominant extremity. Įxtension type injury is more common (95-98%) than flexion type (<5%). SCH represent 60% of all pediatric elbow fractures, classically occurring as a result of fall on an outstretched hand. SCH is one of the most common fractures in pediatric age, representing 13.9% of all types of fractures, with a mean age 6.9 years. In this article, we present a rare case of bilateral supracondylar humerus fractures with a six-months follow-up. Acute complications include: neurovascular injury and compartment syndrome, and long term complications include: stiffness, infections and angular deformities. Complications of a displaced SCH can be dramatically reduced by early surgical fixation. Management of SCH is either surgical or conservative based on the following factors: patient age, fracture pattern and neurovascular involvement. However, a bilateral SCH is rarely observed in this age group. Supracondylar humerus fracture (SCH) is common in the pediatric age group 5-7 years, mostly due to a fall on an outstretched hand.