The pink pulseless hand.
The management of a child with a perfused, pink, but pulseless upper extremity following reduction and pinning of a type III supracondylar humerus fracture remains controversial. The authors present the initial treatment, evaluation, operative findings, and postoperative course of a 6-year-old with a pink pulseless hand. Review of the literature is included, as well as recommendations regarding operative management.
Ruch
David Simms
DS
Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157-1070, USA. druch@wfubmc.edu
Seal
Charles N
CN
Koman
L Andrew
LA
Smith
Beth Paterson
BP
D000465:Algorithms; D001864:Bone Wires; D001916:Brachial Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D002648:Child; D005260:Female; D005385:Fingers / Q000098:blood supply*; D005593:Fracture Fixation, Internal; D006801:Humans; D006810:Humeral Fractures / Q000150:complications* / Q000601:surgery*; D011674:Pulse; D018616:Ultrasonography, Doppler, Duplex