This document discusses the management of supracondylar humerus fractures in children. It begins by providing background on the injury, including that it is most common in 5-7 year old boys and accounts for 60% of elbow fractures in children. The main goals of treatment are anatomic reduction and functional recovery without complications. It then covers evaluation, classification (using the Gartland system), treatment approaches including closed or open reduction and pinning, and management of associated injuries like vascular complications. For type 1 fractures, immobilization is sufficient. Type 2 and 3 fractures are typically treated with closed reduction and percutaneous pinning. The document concludes that both clinical assessment and diagnostic testing should be considered when deciding whether to observe or surg