Acta Chir Orthop Traumatol Cech. 2007; 74(5):349-353 | DOI: 10.55095/achot2007/054

Vascular and Neurological Complications of Supracondylar Humeral Fractures in ChildrenCase report

J. MASÁR
Ortopedicko-traumatologická klinika JLF UK a MFN Martin, Slovenská republika

The author reports two cases of pediatric patients with supracondylar humeral fractures complicated by concomitant vascular injury. One of the patients also presented with neurological symptoms from compression of the ulnar and median nerves.
In the case of vascular injury only, it was necessary to resect a 1-cm segment of the brachial artery which was thrombosed due to intimal disruption. In the other case, surgery was not indicated immediately; however, liberation of the nervus ulnaris and nervus medianus was later required because of nerve compression by the scar and bone.
The author considers the exact diagnosis, precise reduction and stable fixation of a fracture to be most important for a good outcome of treatment. Any associated vascular injury is indicated for surgery only after a thorough diagnostic consideration, and may not be needed in every case. The most decisive factor is the clinical presentation. Injury to the nerve system is indicated for surgical treatment at a later period, at 3 months post-injury at the earliest.

Keywords: supracondylar humeral fracture, thrombosis of the brachial artery, injury to the nervus ulnaris and nervus medianus, surgical treatment

Accepted: March 12, 2007; Published: October 1, 2007  Show citation

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MASÁR J. Vascular and Neurological Complications of Supracondylar Humeral Fractures in Children. Acta Chir Orthop Traumatol Cech. 2007;74(5):349-353. doi: 10.55095/achot2007/054. PubMed PMID: 18001633.
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