Arterial occlusion in juvenile humeral supracondylar fracture.
Juvenile supracondylar fracture of the humerus is described briefly and divided into two groups: 1. Those cases amenable to safe closed treatment; 2. Those in which occlusion of the brachial artery associated with severe displacement renders closed treatment unsafe. A specific mechanism of entrapment of the brachial artery, which has not been described previously, is reported, with the nature and the solution of the problem found at primary open operation. A discussion of the surgical anatomy shows how recognition of the mode of occlusion of the brachial artery may contribute to safe and reliable management of this type of case.
D001157:Arterial Occlusive Diseases / Q000150:complications*; D001916:Brachial Artery / Q000293:injuries; D002648:Child; D005542:Forearm / Q000033:anatomy & histology / Q000098:blood supply; D006801:Humans; D006810:Humeral Fractures / Q000150:complications* / Q000601:surgery; D006811:Humerus / Q000033:anatomy & histology; D009132:Muscles / Q000293:injuries; D011674:Pulse