Acute vascular complications in pediatric patients with supracondylar humeral fractures
DOI:
https://doi.org/10.5281/zenodo.11094383Keywords:
pediatric supracondylar humeral fracture, vascular injury, complications, vascular repair, compartment syndromeAbstract
Introduction: supracondylar fractures of the humerus in children are associated with acute complications such as vascular complications that endanger the viability of the affected limb.
Objective: to systematize acute vascular complications in patients with supracondylar fracture of the humerus in children.
Method: the search and analysis of the information was carried out over a period of 61 days (December 1, 2023 to January 31, 2024) and the following words were used: pediatric supracondylar humeral fractures AND vascular injury, pulseless hand AND pediatric supracondylar humeral fracture, complex fracture, compartment syndrome. Based on the information obtained, a bibliographic review of a total of 186 articles published in the databases was carried out.
Results: reference is made to the behavior of the articles in the PubMed database in the last 10 years. The main characteristics of vascular lesions are mentioned in terms of their exploration and forms of presentation. The use of Doppler ultrasound and arteriography in these patients is discussed, as well as the procedure to follow. In relation to compartment syndrome, the incidence, forms of presentation and behavior to follow are described.
Conclusions: acute vascular complications related to supracondylar fracture in pediatric patients constitute a challenge for medical personnel. Its variants are multiple with different interpretation and implementation, most of the complementary exams provide insufficient elements in the initial stages.
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Copyright (c) 2024 Alejandro Alvarez López, Valentina Valdebenito-Aceitón, Sergio Ricardo Soto-Carrasco
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