scholarly journals The Radial Nerve Entrapment in Pediatric Extension-Type Supracondylar Humeral Fractures. About Two Cases Reports

2016 ◽  
Vol 06 (03) ◽  
pp. 52-57
Author(s):  
Amadou N. Kassé ◽  
Malick Diallo ◽  
Souleymane Diao ◽  
Mohamed Tall ◽  
Babacar Thiam ◽  
...  
Keyword(s):  
Radial Nerve ◽  
Nerve Entrapment ◽  
Humeral Fractures ◽  
Supracondylar Humeral Fractures

scholarly journals Treatment of pediatric supracondylar humerus fractures accompanied with pink pulseless hands

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Li-wei Xie ◽  
Juan Wang ◽  
Zhi-qiang Deng
Keyword(s):  
Brachial Artery ◽  
Closed Reduction ◽  
Duplex Ultrasound ◽  
Humeral Fractures ◽  
Percutaneous Pinning ◽  
Radial Pulse ◽  
Color Flow ◽  
Surgical Exploration ◽  
Close Observation ◽  
Supracondylar Humeral Fractures

Abstract Background The optimal treatment for pediatric supracondylar humeral fractures accompanied with a pink pulseless hand is controversial. Some clinicians recommend close observation after closed reduction and percutaneous pinning of the fractures, while some recommend surgical exploration if the radial pulse is unpalpable. The present study aimed to analyze the benefits and outcomes of close observation for treating pediatric supracondylar humeral fractures with a pink pulseless hand. Methods Thirteen consecutive children presenting with a pink pulseless hand following supracondylar humeral fracture were enrolled in this study. Preoperative and postoperative color-flow Duplex ultrasound detection was used to assess brachial artery compromise in most cases. Urgent closed reduction and percutaneous pinning of the fractures were attempted first. Close observation was carried out when the hand was pink and pulseless with an absent radial pulse. Results Preoperative color-flow Duplex ultrasound showed no disruption of the brachial artery in cases detected. Compression of the artery by the proximal fragment was observed in most cases, with one case of entrapment of the artery between fragments, and thrombus considered in two cases. All cases underwent urgent surgery, after which nine experienced immediate return of the radial pulse. The remaining four without a palpable pulse were managed with close observation and no deterioration of the vascular status was observed; therefore, no surgical exploration was performed. Postoperative color-flow Duplex ultrasound revealed continuity of the artery and rich collateral circulation. Patients completed an average of 4.5 years of follow-up, during which no major complications occurred. All patients achieved excellent limb function. Conclusions Our study demonstrates that close observation after urgent closed reduction and percutaneous pinning is a sufficient approach for the treatment of pediatric supracondylar humeral fractures accompanied with a pink pulseless hand. Surgical exploration is not necessary as long as the hand is warm and well perfused. Color-flow Duplex ultrasound is beneficial for assessing vascular compromise and determining treatment strategies.

Flexion-Type Supracondylar Humeral Fractures

2017 ◽  
Vol 99 (17) ◽  
pp. 1485-1487 ◽  
Author(s):  
Kelly Flynn ◽  
Apurva S. Shah ◽  
Christopher M. Brusalis ◽  
Kelly Leddy ◽  
John M. Flynn
Keyword(s):  
Humeral Fractures ◽  
Supracondylar Humeral Fractures

scholarly journals Conservative versus surgical treatment of Gartland type 2 supracondylar humeral fractures: What can help us choosing?

2019 ◽  
Vol 16 (1) ◽  
pp. 31-35 ◽  
Author(s):  
Carlo Iorio ◽  
Marco Crostelli ◽  
Osvaldo Mazza ◽  
Pierpaolo Rota ◽  
Vincenzo Polito ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Humeral Fractures ◽  
Supracondylar Humeral Fractures

scholarly journals Intermuscular Connections in Anterior Brachium: its Implications in Radial Nerve Entrapment Neuropathy

2019 ◽  
Vol 09 (04) ◽  
pp. 579
Author(s):  
M. Tonse ◽  
M.M. Pai ◽  
L.V. Prabhu ◽  
B.V. Murlimanju ◽  
R. Vadgaonkar ◽  
...  
Keyword(s):  
Radial Nerve ◽  
Nerve Entrapment ◽  
Entrapment Neuropathy

scholarly journals Functional outcome of crossed Kirschner wire fixation in pediatric supracondylar humerus fracture

2019 ◽  
Vol 5 (5) ◽  
pp. 772
Author(s):  
Rahat Zahoor Moton ◽  
Adeel Ahmed Siddiqui ◽  
Muhammad Naseem ◽  
Uzair Yaqoob ◽  
Syed Amir Jalil ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Kirschner Wire ◽  
Humeral Fractures ◽  
Treatment Modalities ◽  
Class Iii ◽  
Supracondylar Fractures ◽  
Fractures In Children ◽  
Kirschner Wire Fixation ◽  
Wire Fixation ◽  
Supracondylar Humeral Fractures

<p class="abstract"><strong>Background:</strong> Distal humeral fractures are one of the most common types of fractures in children, most of them being supracondylar. Supracondylar fractures are usually caused by trauma, most likely falls. It is an emergency, requiring rapid diagnosis and management to avoid serious complications. Recommended treatment modalities vary from no reduction and immobilization to open reduction and internal fixation. Kirschner wire (K-wire) fixation of displaced supracondylar fractures after closed reduction is a preferred method and is being performed for over 50 years now. This study was conducted to determine the functional outcome of crossed K-wire fixation in pediatric supracondylar fracture.</p><p class="abstract"><strong>Methods:</strong> This prospective study was conducted from May-November 2018 at the department of Orthopedics, Abbasi Shaheed Hospital, Karachi, Pakistan. It was inferred that functional outcome of pediatric displaced supracondylar humeral fractures is satisfactory when managed with percutaneous crossed K-wire fixation. It included 83 children with supracondylar fractures. They were treated with percutaneous crossed K-wire fixation. Patients were then followed up to determine satisfactory functional outcome according to Flynn’s criteria. Data entry and analysis was done using SPSS 21.0.</p><p class="abstract"><strong>Results:</strong> Eight-three patients were included. The mean±standard deviation age of this study population was 7.03±3.39 years. Out of the study participants, 47 (56.6%) were males and 36 (43.4%) were females. 71.1% of the patients were of Gartland class II fractures and 28.9% were of Gartland class III. 43.4% had an injury due to fall while playing while 19.3% had fallen from height. 80.7% were found to have a satisfactory functional outcome.</p><p class="abstract"><strong>Conclusions:</strong> It was inferred that the functional outcome of pediatric displaced supracondylar humeral fractures is satisfactory when managed with percutaneous crossed K-wire fixation.</p>

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