title: The pink pulseless hand.
abstract: 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.
authors.affiliation: Department of Orthopaedic Surgery, Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157-1070, USA. druch@wfubmc.edu
authors.forename: David Simms
authors.initials: DS
authors.lastname: Ruch
authors.forename: Charles N
authors.initials: CN
authors.lastname: Seal
authors.forename: L Andrew
authors.initials: LA
authors.lastname: Koman
authors.forename: Beth Paterson
authors.initials: BP
authors.lastname: Smith
mesh_terms: 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