22 extractive question-and-answer pairs built from ICMR Standard Treatment Workflow (STW) SUPRACONDYLAR FRACTURE OF HUMERUS IN CHILDREN, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include standard treatment workflow (stw), children, icd-10-s42.413a, type i, type ii, type iii, gartland classification, radiographs. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 15 factual, 4 list, 3 definition. 7 of the 22 pairs (31.8%) ask explanatory questions; the remaining 15 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.
This dataset contains 22 question-and-answer pairs derived from the ICMR Standard Treatment Workflow (STW) for supracondylar fractures of the humerus in children. The source document outlines classifications, diagnostic methods, and treatment protocols for Type I, II, and III fractures, as well as management of complications like vascular injuries and compartment syndrome. The dataset includes definitions, lists, and factual responses, all tied to specific excerpts from the original publication.
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df = desidata.load("www-icmr-gov-in-8e59bfa5a8ff443e64cc2c24133d6484")
df.head()First 10 of 22 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_document | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|---|
| What defines a Type III fracture above the epicondyles of the humerus? | Completely displaced fractures with cortical discontinuity. Soft tissue gap variable | Fracture is just above the epicondyles of humerus (upper limb) TYPE I: Undisplaced fracture TYPE II: Displaced fracture with variable angulation, posterior cortical continuity of humerus preserved TYPE III: Completely displaced fractures with cortical discontinuity. Soft tissue gap variable | 207 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474669_supracondylar_fracture.pdf | Fracture is just above the epicondyles of humerus (upper limb) TYPE I: Undisplaced fracture TYPE II: Displaced fracture with variable angulation, posterior cortical continuity of humerus preserved TYPE III: Completely displaced fractures with cortical discontinuity. Soft tissue gap variable | 1 | page=1,block=14 | 0.700 | valid |
| What distinguishes a Type II fracture above the epicondyles of the humerus? | Displaced fracture with variable angulation, posterior cortical continuity of humerus preserved | Fracture is just above the epicondyles of humerus (upper limb) TYPE I: Undisplaced fracture TYPE II: Displaced fracture with variable angulation, posterior cortical continuity of humerus preserved TYPE III: Completely displaced fractures with cortical discontinuity. Soft tissue gap variable | 101 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474669_supracondylar_fracture.pdf | Fracture is just above the epicondyles of humerus (upper limb) TYPE I: Undisplaced fracture TYPE II: Displaced fracture with variable angulation, posterior cortical continuity of humerus preserved TYPE III: Completely displaced fractures with cortical discontinuity. | 1 | page=1,block=14 | 0.700 | valid |
| What characterizes a Type I fracture above the epicondyles of the humerus? | Undisplaced fracture | Fracture is just above the epicondyles of humerus (upper limb) TYPE I: Undisplaced fracture TYPE II: Displaced fracture with variable angulation, posterior cortical continuity of humerus preserved TYPE III: Completely displaced fractures with cortical discontinuity. Soft tissue gap variable | 71 | definition | 0.940 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474669_supracondylar_fracture.pdf | Fracture is just above the epicondyles of humerus (upper limb) TYPE I: Undisplaced fracture TYPE II: Displaced fracture with variable angulation, posterior cortical continuity of humerus preserved TYPE III: Completely displaced fractures with cortical discontinuity. | 1 | page=1,block=14 | 0.700 | valid |
| What are the signs of compartment syndrome that may require urgent fasciotomy? | Pain on passive stretching • Pallor • Paresthesia • Pulselessness • Paralysis | These are signs of Compartment syndrome (Volkmann’s ischaemia) and may require urgent fasciotomy, along with management of vascular injury and fracture fixation • Pain on passive stretching • Pallor • Paresthesia • Pulselessness • Paralysis RED FLAG SIGNS FOR REFERRAL | 163 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474669_supracondylar_fracture.pdf | These are signs of Compartment syndrome (Volkmann’s ischaemia) and may require urgent fasciotomy, along with management of vascular injury and fracture fixation • Pain on passive stretching • Pallor • Paresthesia • Pulselessness • Paralysis RED FLAG SIGNS FOR REFERRAL | 1 | page=1,block=57 | 0.700 | valid |
| What imaging techniques are recommended for a suspected vascular injury in the elbow? | Immediate arterial doppler/ CT angiography | ESSENTIAL DESIRABLE Radiographs: AP and lateral x-ray elbow. The comparative x-ray of contralateral elbow should be done, if suspicion is strong and x-ray of injured elbow appears normal Immediate arterial doppler/ CT angiography (in case of suspected vascular injury) | 187 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474669_supracondylar_fracture.pdf | The comparative x-ray of contralateral elbow should be done, if suspicion is strong and x-ray of injured elbow appears normal Immediate arterial doppler/ CT angiography (in case of suspected vascular injury) | 1 | page=1,block=10 | 0.700 | valid |
| What type of radiographs are considered essential for evaluating an elbow injury? | AP and lateral x-ray elbow | ESSENTIAL DESIRABLE Radiographs: AP and lateral x-ray elbow. The comparative x-ray of contralateral elbow should be done, if suspicion is strong and x-ray of injured elbow appears normal Immediate arterial doppler/ CT angiography (in case of suspected vascular injury) | 33 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474669_supracondylar_fracture.pdf | ESSENTIAL DESIRABLE Radiographs: AP and lateral x-ray elbow. | 1 | page=1,block=10 | 0.700 | valid |
| What type of splint can be used to manage pain in an elbow injury? | triangular sling/ lateral elbow sling/ well padded moulded cramer wire splint | 1. Pain management 2. Splintage using triangular sling/ lateral elbow sling/ well padded moulded cramer wire splint in the position of deformity 3. If vascular injury is suspected it should be treated as an emergency 4.Refer to higher centre | 38 | list | 0.820 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474669_supracondylar_fracture.pdf | Splintage using triangular sling/ lateral elbow sling/ well padded moulded cramer wire splint in the position of deformity 3. | 1 | page=1,block=48 | 0.700 | valid |
| How should a suspected vascular injury in the elbow be treated? | it should be treated as an emergency | 1. Pain management 2. Splintage using triangular sling/ lateral elbow sling/ well padded moulded cramer wire splint in the position of deformity 3. If vascular injury is suspected it should be treated as an emergency 4.Refer to higher centre | 180 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474669_supracondylar_fracture.pdf | If vascular injury is suspected it should be treated as an emergency 4.Refer to higher centre | 1 | page=1,block=48 | 0.700 | valid |
| What is the initial treatment approach for a Type II supracondylar fracture? | One attempt of closed reduction under anaesthesia with radiological control | TYPE I: Immobilise: Above elbow well padded cast with 90 degree elbow flexion for three weeks Follow-up: X-ray at 1 week to assess for displacement TYPE II: One attempt of closed reduction under anaesthesia with radiological control a) Closed reduction possible: above elbow plaster cast in flexion of elbow (10 degrees short of radial pulse) and pronation of forearm. Observe the patient for distal neuro-vascular deficits and swelling for at least 24 hours. | 157 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474669_supracondylar_fracture.pdf | TYPE I: Immobilise: Above elbow well padded cast with 90 degree elbow flexion for three weeks Follow-up: X-ray at 1 week to assess for displacement TYPE II: One attempt of closed reduction under anaesthesia with radiological control a) Closed reduction possible: above elbow plaster cast in flexion of elbow (10 degrees short of radial pulse) and pronation of forearm. | 1 | page=1,block=51 | 0.700 | valid |
| What is the recommended immobilisation method for a Type I supracondylar fracture? | Above elbow well padded cast with 90 degree elbow flexion for three weeks | TYPE I: Immobilise: Above elbow well padded cast with 90 degree elbow flexion for three weeks Follow-up: X-ray at 1 week to assess for displacement TYPE II: One attempt of closed reduction under anaesthesia with radiological control a) Closed reduction possible: above elbow plaster cast in flexion of elbow (10 degrees short of radial pulse) and pronation of forearm. Observe the patient for distal neuro-vascular deficits and swelling for at least 24 hours. | 20 | factual | 0.570 | https://www.icmr.gov.in/icmrobject/uploads/STWs/1728474669_supracondylar_fracture.pdf | TYPE I: Immobilise: Above elbow well padded cast with 90 degree elbow flexion for three weeks Follow-up: X-ray at 1 week to assess for displacement TYPE II: One attempt of closed reduction under anaesthesia with radiological control a) Closed reduction possible: above elbow plaster cast in flexion of elbow (10 degrees short of radial pulse) and pronation of forearm. | 1 | page=1,block=51 | 0.700 | valid |
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