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Neurovascular complications after supracondylar humerus fractures in children

  • Background: Supracondylar fractures of the humerus are a common injury in pediatric traumatology. The most common operative therapy is closed reduction and percutaneous pinning using K-wires. Common complications associated with this entity are neurovascular lesions, especially of the brachial artery and the median nerve. Methods: We report two cases of patients treated in our trauma-center with supracondylar fracture of the humerus (AO IV°) and neurovascular complications. Results: Both patients underwent open revision and recovered completely in their further course. Conclusion: We recommend detailed neurovascular examination initially and after reposition of the fracture. The threshold for open reduction in cases of irreducible fractures should be low. In the presence of neurovascular impairment an open revision is mandatory, even months after the initial Trauma.

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Metadaten
Author:Maximilian LeibleinORCiDGND, Thomas LustenbergerORCiDGND, Anne-Kathrin Schulz, Thomas Schmitz-RixenORCiDGND, Ingo MarziORCiDGND
URN:urn:nbn:de:hebis:30:3-773321
DOI:https://doi.org/10.1016/j.tcr.2017.01.013
ISSN:2352-6440
Parent Title (English):Trauma Case Reports
Publisher:Elsevier
Place of publication:Amsterdam
Document Type:Article
Language:English
Date of Publication (online):2017/03/17
Date of first Publication:2017/01/06
Publishing Institution:Universitätsbibliothek Johann Christian Senckenberg
Release Date:2023/10/15
Tag:Brachial artery; Median nerve; Neurovascular lesion; Pediatric fracture; Percutaneous pinning
Volume:8
Page Number:4
First Page:16
Last Page:19
HeBIS-PPN:515679232
Institutes:Medizin
Dewey Decimal Classification:6 Technik, Medizin, angewandte Wissenschaften / 61 Medizin und Gesundheit / 610 Medizin und Gesundheit
Sammlungen:Universitätspublikationen
Licence (German):License LogoCreative Commons - CC BY-NC-ND - Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International