Abstract

Supracondylar humeral fracture is the most common elbow injury in children. It may be associated with a vascular injury in nearly 20% of the cases with a pink pulseless limb. We present a unique case of a paediatric pink pulseless supracondylar humeral fracture, seen late, on the 16th-day post-trauma. Open reduction, cross Kirschner wiring, and brachial artery exploration and repair were performed, and the patient recovered well. Early open reduction and exploration of the brachial artery with or without prior CT angiography was a safe approach in treating patients who presented at 16 days.

Highlights

  • The supracondylar fracture of the humerus is common among the paediatric population[1,2]

  • We present a case of a late presentation of paediatric pink pulseless supracondylar fracture of the humerus

  • This was the first case of a delayed presentation of a paediatric pink pulseless supracondylar humeral fracture

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Summary

Introduction

The supracondylar fracture of the humerus is common among the paediatric population[1,2]. Devnani reported a case series of 28 children who sustained supracondylar humeral fractures and sought treatment after a mean of 5.6 days, in the hospital[4]. We present a case of a late presentation of paediatric pink pulseless supracondylar fracture of the humerus.

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