TY  - JOUR
TI  - Entrapment of the brachial artery in the cancellous bone in pulseless supracondylar humerus fractures with well-perfused hands: Report of three cases
AB  - Management of pediatric pulseless supracondylar humerus fractures is a point of continuous debate. In this article, we present three cases admitted to the emergency department with pulseless, but well-perfused hands. The fractures were reduced and fixed using the antecubital approach. Prior to reduction, the brachial arteries of all three patients were entrapped in the cancellous bone of the proximal fragment segment. The arteries could only be released after freeing the adventitia by carefully scraping the adjacent bone with the tip of a hemostat. One case required thrombectomy through an arteriotomy using No. 3 Fogarty catheter. In two cases, the pulse returned after a brief period of waiting with no need for vascular intervention. Proceeding with closed reduction, as proposed by the recent guidelines, would result in further damage to the entrapped vasculature, which may go unnoticed due to collateral circulation.
AU  - Sarısözen, Bartu
AU  - Durak, Kemal
AU  - ATICI, Teoman
AU  - ÇAKAR, Adnan
AU  - Ermutlu, Cenk
DO  - 10.52312/jdrs.2022.591
PY  - 2022
JO  - Joint diseases and related surgery
VL  - 33
IS  - 3
SN  - 2687-4784
SP  - 680
EP  - 685
DB  - TRDizin
UR  - http://search/yayin/detay/1176368
ER  -