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1- Department of Vascular Surgery, Mazandaran University of Medical Sciences, Sari, Iran.
2- Department of Vascular Surgery, Mazandaran University of Medical Sciences, Sari, Iran.
3- Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. , saeed1376.mu@gmail.com
4- Student Research Committee, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
5- Department of Clinical Pharmacy, Faculty of pharmacy, Mazandaran University of Medical Sciences, Sari, Iran
Abstract:   (137 Views)
Background: Supracondylar fractures of the humerus are common elbow fractures in children. Supracondylar fractures have two subtypes: flexion, which makes up less than 2 percent of all such fractures, and extension, which makes up more than 98 percent of supracondylar fracture of the humerus. Supracondylar fractures of the humerus can develop vascular and neurological complications-either following the fracture itself due to the detached pieces of bone, or after reduction or k-wire fixation used as treatment. The most common complication is damage to the brachial artery.
Case report: The patient is a healthy seven-year-old right dominant boy who sustained a Gartland type 3 fracture following a fall and was admitted to the emergency ward. At first, a weak pulse was detected in the distal part of the right upper extremity, and the following reduction using 2 K-wires the distal pulse of the limb became undetectable. Vascular examination unveiled that the adventitia of the brachial artery was trapped between the condyle parts. The artery was later released and the distal pulse returned.
 
Conclusion: This case’s examination shows that while entrapment and pulling of the adventitia of the brachial artery between the condyles of the humerus following a supracondylar fracture is a rare occurrence in this type of fracture and also happens. due to reduction using K-wires percutaneously it nevertheless necessitates a neurovascular examination in all cases of supracondylar fractures. In supracondylar fractures in cases of pink pulseless limbs, immediate arterial exploration can achieve a markedly better outcome in comparison to simply monitoring.
Full-Text [PDF 839 kb]   (85 Downloads)    
Type of Study: Case Report and Review of Literature | Subject: Pediatrics
Received: 2021/02/27 | Accepted: 2021/05/18

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