Late Presentation of Paediatric Pink Pulseless Supracondylar Fracture of Humerus: A Case Report

Supracondylar humeral fracture is the most common elbow injury in children. It may be associated with a vascular injury in nearly 20% of the cases with a pink pulseless limb. We present a unique case of a paediatric pink pulseless supracondylar humeral fracture, seen late, on the 16th-day post-traum...

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Bibliographic Details
Published in:Malaysian orthopaedic journal 2019-11, Vol.13 (3), p.77-79
Main Authors: RY, Kow, JC, Yuen, CL, Low, KN, Mohd-Daud
Format: Article
Language:English
Subjects:
Case Report
fracture
humerus
pink
pulseless
supracondylar
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Summary:Supracondylar humeral fracture is the most common elbow injury in children. It may be associated with a vascular injury in nearly 20% of the cases with a pink pulseless limb. We present a unique case of a paediatric pink pulseless supracondylar humeral fracture, seen late, on the 16th-day post-trauma. Open reduction, cross Kirschner wiring, and brachial artery exploration and repair were performed, and the patient recovered well. Early open reduction and exploration of the brachial artery with or without prior CT angiography was a safe approach in treating patients who presented at 16 days.
ISSN:1985-2533
2232-111X
DOI:10.5704/MOJ.1911.014