Abstract

CARVALHO, Raquel et al. Fratura supracondiliana do úmero complicada de lesão vascular. Rev. Port. Ortop. Traum. [online]. 2013, vol.21, n.1, pp.77-83. ISSN 1646-2122.

Supracondylar humerus fractures are a common pediatric injury, involving 16,6 - 17% of all fractures in this age group. In most cases are complicated fractures, often associated with neurovascular lesions. The authors present a case report of a supracondylar fracture Gartland type III complicated by a vascular lesion, confirmed by arteriography. Considering the good distal perfusion of the upper limb, an expectant attitude was taken which demonstrated a good evolution both clinically and radiographically, with pulse palpable at follow-up. This case alerts to the importance of adopting an expectant attitude after the reduction and manipulation the fracture, when presence of a good distal perfusion, even in the absence of radial pulse.

Keywords : Supracondylar fracture of the humerus; children; neurovascular complications; pink pulseless hand.

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