[Compartment syndrome and Volkmann contracture--can they be prevented in supracondylar humerus fracture?].
The arterial blood supply of the arm is unique, as the collateral circulation is especially good. Because of this anatomic perculiarity it is possible to deal with lack of peripheral pulse without critical ischemia occurring in fractures in the elbow region. We present two children with supracondylar fractures of the humerus with damage to the brachial artery and the different management results. It is necessary to carry out the immediate diagnostic and therapeutic procedures in order to prevent late complications. We conclude that Volkmann's ischemic contracture can always be prevented.
Krenzien
J
J
Abteilung für Gefäss- und Thoraxchirurgie, Klinikum Ernst von Bergmann, Potsdam.
Richter
H
H
Gussmann
A
A
Schildknecht
A
A
D000293:Adolescent; D000792:Angiography; D001132:Arm / Q000098:blood supply; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery; D002648:Child; D003161:Compartment Syndromes / Q000000981:diagnostic imaging / Q000517:prevention & control*; D004551:Elbow Joint / Q000098:blood supply / Q000601:surgery; D006801:Humans; D006810:Humeral Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000517:prevention & control*; D012307:Risk Factors; D000092464:Elbow Injuries
Das Compartmentsyndrom und die Volkmann-Kontraktur--sind sie bei der supracondylären Humerusfraktur vermeidbar?