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.
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): | Creative Commons - CC BY-NC-ND - Namensnennung - Nicht kommerziell - Keine Bearbeitungen 4.0 International |