کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2886976 1574212 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Less is More in the Nonoperative Management of Complete Brachial Artery Transection after Supracondylar Humeral Fracture
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی کاردیولوژی و پزشکی قلب و عروق
پیش نمایش صفحه اول مقاله
Less is More in the Nonoperative Management of Complete Brachial Artery Transection after Supracondylar Humeral Fracture
چکیده انگلیسی
Supracondylar humeral fractures are the most common fracture of the elbow in children. Despite it being a familiar problem faced by surgeons, there are aspects of its management that remain controversial. Specifically, management of these fractures that result in a pink or perfused hand that remains pulseless after acceptable reduction is expectedly controversial. We present a patient with a supracondylar humeral fracture and loss of pulse. The patient was found to have complete brachial artery transection but maintained a pink and well-perfused hand. It was determined to forgo arterial reconstruction because of concerns of worsening ischemia by damage to the collateral circulation. Despite no arterial reconstruction, the patient had a successful outcome. Therefore, this report highlights that arterial reconstruction may not be required, even in cases of severe brachial artery injury.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Vascular Surgery - Volume 28, Issue 3, April 2014, Pages 739.e11-739.e16
نویسندگان
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