Kow R Y, Yuen J C, Low C L, Mohd-Daud K N
Department of Orthopaedic, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia.
Department of Radiology, Hospital Tengku Ampuan Afzan, Kuantan, Malaysia.
Malays Orthop J. 2019 Nov;13(3):77-79. doi: 10.5704/MOJ.1911.014.
Supracondylar humeral fracture is the most common elbow injury in children. It may be associated with a vascular injury in nearly 20% of the cases with a pink pulseless limb. We present a unique case of a paediatric pink pulseless supracondylar humeral fracture, seen late, on the 16th-day post-trauma. Open reduction, cross Kirschner wiring, and brachial artery exploration and repair were performed, and the patient recovered well. Early open reduction and exploration of the brachial artery with or without prior CT angiography was a safe approach in treating patients who presented at 16 days.
肱骨髁上骨折是儿童最常见的肘部损伤。在近20%的患侧无脉搏肢体的病例中，它可能与血管损伤有关。我们报告了一例独特的小儿患侧无脉搏肱骨髁上骨折病例，该病例在创伤后第16天才被发现。进行了切开复位、交叉克氏针内固定以及肱动脉探查和修复，患者恢复良好。对于在第16天就诊的患者，早期进行切开复位并探查肱动脉，无论是否先行CT血管造影，都是一种安全的治疗方法。
