title: Arterial damage accompanying supracondylar fractures of the humerus.
abstract: BACKGROUND
  Arterial damage is sometimes associated with supracondylar fractures of the humerus. Diagnosis and careful management of the fracture and arterial repair is crucial.
  
  
  OBJECTIVE
  The aim of this study was to determine the prevalence and outcome of supracondylar fractures of the humerus with signs and symptoms of limb ischemia, before and after arterial decompression or arterial reconstruction.
  
  
  METHODS
  From September 2004 to July 2010, 225 consecutive patients with supracondylar fracture of the humerus were prospectively recruited.
  
  
  RESULTS
  From among 75 cases with Gartland type III fractures, 22 were found to have vascular injury.. Of the 22 cases with vascular injury, 7 patients underwent arterial reconstruction. The other 15 received arterial decompression. All patients had a satisfactory outcome.
  
  
  CONCLUSIONS
  A high level of suspicion and careful clinical evaluation leading to an early diagnosis and management of vascular injury accompanying supracondylar fracture is very important to prevent unnecessary sequelae ranging from limb claudication, and compartment syndrome to more severe complications like Volkmann's contracture and even limb loss.
authors.affiliation: Department of Surgery, Gilan University of Medical Science, Rasht, IR Iran.
authors.forename: Mohammad Ali
authors.initials: MA
authors.lastname: Mohammadzadeh
authors.affiliation: Imam Khomeini Hospital, Tehran University of Medical Science, Tehran, IR Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Mohammadzadeh
authors.affiliation: Department of Radiology, Rejaee Hospital, Tehran University of Medical Science, Tehran, IR Iran.
authors.forename: Ali
authors.initials: A
authors.lastname: Mohammadzadeh
authors.affiliation: Department of Surgery, Gilan University of Medical Science, Rasht, IR Iran.
authors.forename: Rasoul
authors.initials: R
authors.lastname: Herfatkar
authors.affiliation: Tehran University of Medical Science, Tehran, IR Iran.
authors.forename: Vahid
authors.initials: V
authors.lastname: Mohammadzadeh
authors.affiliation: Department of Surgery, Gilan University of Medical Science, Rasht, IR Iran.
authors.forename: Iraj
authors.initials: I
authors.lastname: Baghi
authors.affiliation: Research Road Trauma Center4, Gilan University of Medical Science, Rasht, IR Iran.
authors.forename: Hamid
authors.initials: H
authors.lastname: Heydari
authors.affiliation: Gilan University of Medical Science, Rasht, IR Iran.
authors.forename: Sona
authors.initials: S
authors.lastname: Najafi
authors.affiliation: Gilan University of Medical Science, Rasht, IR Iran.
authors.forename: Michael
authors.initials: M
authors.lastname: Jalili
keywords: Bone; Fractures; Humerus
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