Late onset brachial artery thrombosis and total temporary peripheral neuropathy in a child with humerus supracondylar fracture: A case report Pediatrik humerus suprakondiler kırıklı bir hastada geç gelişen brakiyal arter trombozu ve total geçici sinir paralizisi: Olgu sunumu
Ulusal Travma ve Acil Cerrahi Dergisi, cilt.21, sa.1, ss.75-78, 2015 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 1
- Basım Tarihi: 2015
- Doi Numarası: 10.5505/tjtes.2015.92072
- Dergi Adı: Ulusal Travma ve Acil Cerrahi Dergisi
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.75-78
- Anahtar Kelimeler: Brachial artery, supracondylar fracture, thrombosis
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Pediatric supracondylar fractures of the humerus are generally associated with neurovascular complications due to the deformity and sharp nature of bone fragments. When treated inadequately, these injuries may result in catastrophic complications, such as Volkmann’s contracture and amputation. To our knowledge, late onset brachial arterial thrombosis and total temporary peripheral neuropathy after surgery of pediatric supracondylar fracture in the setting of normal preoperative vascular examination has not been reported yet. In this study, a 2-year and 6- month-old girl, who had delayed brachial arterial thrombosis after a displaced humerus supracondylar fracture surgery treated with embolectomy, was reported. Total lesion of median, ulnar and radial nerves completely resolved four months after surgery. Close neurovascular monitoring on the postoperative phase especially in severely displaced supracondylar fractures is strongly emphasized even in the setting of well-perfused hand.