Less is More in the Nonoperative Management of Complete Brachial Artery Transection after Supracondylar Humeral Fracture
| Autor: | Larry H. Hollier, Richard Siy, Erik M. Wolfswinkel, William M. Weathers, Kevin Horowitz |
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| Rok vydání: | 2014 |
| Předmět: |
Humeral Fractures
medicine.medical_specialty Brachial Artery medicine.medical_treatment Elbow Ischemia Collateral Circulation Fracture Fixation Internal medicine.artery Fracture fixation Humans Medicine Brachial artery Nonoperative management Child Reduction (orthopedic surgery) business.industry General Medicine Vascular System Injuries medicine.disease Collateral circulation Surgery Radiography Treatment Outcome Humeral fracture medicine.anatomical_structure Regional Blood Flow Anesthesia Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Annals of Vascular Surgery. 28:739.e11-739.e16 |
| ISSN: | 0890-5096 |
| Popis: | Supracondylar humeral fractures are the most common fracture of the elbow in children. Despite it being a familiar problem faced by surgeons, there are aspects of its management that remain controversial. Specifically, management of these fractures that result in a pink or perfused hand that remains pulseless after acceptable reduction is expectedly controversial. We present a patient with a supracondylar humeral fracture and loss of pulse. The patient was found to have complete brachial artery transection but maintained a pink and well-perfused hand. It was determined to forgo arterial reconstruction because of concerns of worsening ischemia by damage to the collateral circulation. Despite no arterial reconstruction, the patient had a successful outcome. Therefore, this report highlights that arterial reconstruction may not be required, even in cases of severe brachial artery injury. |
| Databáze: | OpenAIRE |
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