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Research ArticleOriginal Article
Open Access

Vascular compromise associated with supracondylar fractures in children

Hussein M. Rabee, Mussaad M. Al-Salman, Kaisor Iqbal and Hazem Al-Khawashki
Saudi Medical Journal September 2001, 22 (9) 790-792;
Hussein M. Rabee
Division of Vascular Surgery, Department of Surgery, College of Medicine, King Khalid University Hospital, PO Box 7808, Riyadh 11472, Kingdom of Saudi Arabia. Tel +966 (1) 467 1589. Fax +966 (1) 467 9493. E-mail: [email protected]
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Mussaad M. Al-Salman
Division of Vascular Surgery, Department of Surgery, College of Medicine, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
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Kaisor Iqbal
Division of Vascular Surgery, Department of Surgery College of Medicine, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
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Hazem Al-Khawashki
Department of Orthopedics, College of Medicine, King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia.
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Abstract

OBJECTIVE: Our aim was to study the significance of persistently absent radial pulse, with monophasic doppler flow after close reduction percutaneous pinning of displaced supracondylar fracture of humerus, and the need of early exploration of brachial artery in such cases.

METHODS: Between July 1992 and 1999, 86 children with Grade III supracondylar fracture of humerus were treated at King Khalid University Hospital, Riyadh, Kingdom of Saudi Arabia The history, physical examination, vascular status of limb before and after close reduction percutaneous pinning of fracture were recorded. All children having persistently absent radial pulse and monophasic flow doppler signals after close reduction percutaneous pinning under went exploration of brachial artery.

RESULTS: Of the 86 children with Grade III supracondylar fracture of humerus, 6 had persistently absent radial pulse with monophasic flow doppler signals after close reduction percutaneous pinning. Five children had one warm pink well perfused hand and one cold pale poorly perfused hand. All 6 under went exploration of brachial artery and were found to have entrapped artery at the fracture site. There was an immediate return of radial pulse with triphasic Doppler flow on release of brachial artery.

CONCLUSION: Persistently absent radial pulse with objectivity, obtained by doppler ultrasound in the form of absent or monophasic flow in radial artery, is a reliable indicator of vascular compromise. Surgical exploration of brachial artery by a competent surgeon is to be carried out to avoid early and late complication, of pulseless limb in children with displaced supracondylar fracture of humerus.

  • Copyright: © Saudi Medical Journal

This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Saudi Medical Journal: 22 (9)
Saudi Medical Journal
Vol. 22, Issue 9
1 Sep 2001
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Vascular compromise associated with supracondylar fractures in children
Hussein M. Rabee, Mussaad M. Al-Salman, Kaisor Iqbal, Hazem Al-Khawashki
Saudi Medical Journal Sep 2001, 22 (9) 790-792;

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Vascular compromise associated with supracondylar fractures in children
Hussein M. Rabee, Mussaad M. Al-Salman, Kaisor Iqbal, Hazem Al-Khawashki
Saudi Medical Journal Sep 2001, 22 (9) 790-792;
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© 2023 Saudi Medical Journal Saudi Medical Journal is copyright under the Berne Convention and the International Copyright Convention.  Saudi Medical Journal is an Open Access journal and articles published are distributed under the terms of the Creative Commons Attribution-NonCommercial License (CC BY-NC). Readers may copy, distribute, and display the work for non-commercial purposes with the proper citation of the original work. Electronic ISSN 1658-3175. Print ISSN 0379-5284.

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