Management of Vascular Complications in Pediatric Supracondylar Humerus Fractures

Overview

* To determine the incidence and types of vascular injuries associated with pediatric supracondylar humerus fractures. * Identify outcomes of different management strategies * Identify risk factors for vascular injury

Supracondylar humerus fractures are the most common elbow fractures in children. Because the brachial artery lies anterior to the distal humerus, displaced fractures can cause: Arterial spasm, Intimal injury, Thrombosis, Entrapment or transection) Vascular injury risk increases significantly with higher Gartland classifications of supracondylar humerus fractures, peaking in Type III and Type IV injuries. Vascular compromise can lead to ischemia, compartment syndrome, and long-term functional deficits if not promptly identified and treated. The decision-making around "pink pulseless hand" remains controversial Some centers advocate observation after reduction, while others recommend early exploration.

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Interventions

Eligibility

Locations (1)

Outcomes

Central Contacts