Complicações vasculares agudas em pacientes pediátricos com fraturas supracondilianas do úmero
DOI:
https://doi.org/10.5281/zenodo.11094383Palavras-chave:
fratura supracondiliana do úmero pediátrica, lesão vascular, complicações, reparação vascular, síndrome compartimentalResumo
Introdução: as fraturas supracondilianas do úmero em crianças estão associadas a complicações agudas, como complicações vasculares que colocam em risco a viabilidade do membro afetado.
Objetivo: sistematizar complicações vasculares agudas em pacientes com fratura supracondiliana de úmero em crianças.
Método: a busca e análise das informações foram realizadas durante um período de 61 dias (1º de dezembro de 2023 a 31 de janeiro de 2024) e foram utilizadas as palavras: pediatric supracondylar humeral fractures AND vascular lesion, pulseless hand AND pediatric supracondylar humeral fracture, complex fracture, compartment syndrome. Com base nas informações obtidas, foi realizada uma revisão bibliográfica de um total de 186 artigos publicados nas bases de dados.
Resultados: faz-se referência ao comportamento dos artigos na base de dados PubMed nos últimos 10 anos. São citadas as principais características das lesões vasculares quanto à sua exploração e formas de apresentação. Discute-se o uso da ultrassonografia Doppler e da arteriografia nesses pacientes, bem como o procedimento a seguir. Em relação à síndrome compartimental são descritas a incidência, formas de apresentação e comportamento a seguir.
Conclusões: as complicações vasculares agudas relacionadas à fratura supracondiliana em pacientes pediátricos constituem um desafio para a equipe médica. As suas variantes são múltiplas com diferentes interpretações e implementações, a maioria dos exames complementares fornecem elementos insuficientes nas fases iniciais.
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Copyright (c) 2024 Alejandro Alvarez López, Valentina Valdebenito-Aceitón, Sergio Ricardo Soto-Carrasco
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
