title: Late onset brachial artery thrombosis and total temporary peripheral neuropathy in a child with humerus supracondylar fracture: a case report.
abstract: Pediatric supracondylar fractures of the humerus are generally associated with neurovascular complications due to the deformity and sharp nature of bone fragments. When treated inadequately, these injuries may result in catastrophic complications, such as Volkmann's contracture and amputation. To our knowledge, late onset brachial arterial thrombosis and total temporary peripheral neuropathy after surgery of pediatric supracondylar fracture in the setting of normal preoperative vascular examination has not been reported yet. In this study, a 2-year and 6- month-old girl, who had delayed brachial arterial thrombosis after a displaced humerus supracondylar fracture surgery treated with embolectomy, was reported. Total lesion of median, ulnar and radial nerves completely resolved four months after surgery. Close neurovascular monitoring on the postoperative phase especially in severely displaced supracondylar fractures is strongly emphasized even in the setting of well-perfused hand.
authors.affiliation: Deparment of Orthopedics and Traumatolgy, Gülhane Military Medical Academy, Ankara, Turkey. tolgaege77@yahoo.com.
authors.forename: Tolga
authors.initials: T
authors.lastname: Ege
authors.affiliation: Deparment of Hand Surgery, Gülhane Military Medical Academy, Ankara, Turkey.
authors.forename: Selim
authors.initials: S
authors.lastname: Türkkan
authors.affiliation: Deparment of Cardiovascular Surgery, Gülhane Military Medical Academy, Ankara, Turkey.
authors.forename: Celalettin
authors.initials: C
authors.lastname: Günay
authors.affiliation: Deparment of Hand Surgery, Gülhane Military Medical Academy, Ankara, Turkey.
authors.forename: Yalçın
authors.initials: Y
authors.lastname: Külahçı
authors.affiliation: Deparment of Hand Surgery, Gülhane Military Medical Academy, Ankara, Turkey.
authors.forename: Mustafa
authors.initials: M
authors.lastname: Kürklü
mesh_terms: D000058:Accidental Falls; D001916:Brachial Artery; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006810:Humeral Fractures / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging; D010523:Peripheral Nervous System Diseases / Q000150:complications / Q000175:diagnosis*; D011826:Radial Nerve / Q000293:injuries*; D011859:Radiography; D013927:Thrombosis / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery