Abstract
Background:Arterial damage is sometimes associated with supracondylar fractures of the humerus. Diagnosis and careful management of the fracture and arterial repair is crucial.Objectives:The aim of this study was to determine the prevalence and outcome of supracondylar fractures of the humerus with signs and symptoms of limb ischemia, before and after arterial decompression or arterial reconstruction.Materials and Methods:From September 2004 to July 2010, 225 consecutive patients with supracondylar fracture of the humerus were prospectively recruited.Results:From among 75 cases with Gartland type III fractures, 22 were found to have vascular injury.. Of the 22 cases with vascular injury, 7 patients underwent arterial reconstruction. The other 15 received arterial decompression. All patients had a satisfactory outcome.Conclusions:A high level of suspicion and careful clinical evaluation leading to an early diagnosis and management of vascular injury accompanying supracondylar fracture is very important to prevent unnecessary sequelae ranging from limb claudication, and compartment syndrome to more severe complications like Volkmann’s contracture and even limb loss.
Highlights
Arterial damage is sometimes associated with supracondylar fractures of the humerus
A high level of suspicion and careful clinical evaluation leading to an early diagnosis and management of vascular injury accompanying supracondylar fracture is very important to prevent unnecessary sequelae ranging from limb claudication, and compartment syndrome to more severe complications like Volkmann’s contracture and even limb loss
Objectives iv The aim of this study was to determine the prevalence and outcome of supracondylar fractures of the humerus with signs and symptoms of limb ischemia, before and h after arterial decompression or arterial reconstruction. c 3
Summary
Supracondylar fracture of the humerus is the most common fracture of the elbow in the pediatric population (60%). It mostly occurs by falling on an out-stretched hand (FOOSH) (1). Due to the frequency of falls, 65-75% of all fractures in this age group affect the upper extremities (2). Is this type of fracture relevant because of the frequency in which it is encountered, but more importantly, because of its high complication rate seen www.SID.ir
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