Malviya Ajay, Simmons Damon, Vallamshetla Ram, Bache Christopher Edward
Trauma and Orthopaedics Birmingham Children's Hospital, Birmingham, UK.
J Pediatr Orthop B. 2006 Jan;15(1):62-4. doi: 10.1097/01202412-200601000-00013.
A postal questionnaire was sent to the members of the British Society for Children's Orthopaedic Surgery to form a consensus on the management of displaced supra-condylar fractures especially when complicated by a 'pink pulseless hand'. A majority of the paediatric orthopaedic practitioners in the United Kingdom would deal with the uncomplicated supra-condylar fractures as soon as possible but not after midnight. In the absence of a radial pulse, stabilization would be considered even after midnight. If the hand remains pulseless but well perfused after stabilization the preferred option would be to observe and rely on collateral circulation rather than treating it more aggressively.
向英国儿童骨科学会的成员发送了一份邮政调查问卷，以就移位性髁上骨折的处理，尤其是合并“手部苍白无脉”情况时的处理达成共识。英国大多数儿科骨科医生会尽快处理无并发症的髁上骨折，但不会在午夜之后。如果没有桡动脉搏动，即使在午夜之后也会考虑进行固定。如果固定后手部仍然无脉但血运良好，首选的做法是观察并依靠侧支循环，而不是采取更积极的治疗措施。
