This announcement needs your attention

DoctorsHello
DoctorsHello
  • Home
  • • Connect with Doctors
  • • myNetworkTM
  • • VideoCasts
  • • PubCasts
    • (Gr)  Greek Version
    • (En) English Version
Login

Management of the pediatric pulseless supracondylar humeral fracture: a systematic review and comparison study of "watchful expectancy strategy" versus surgical exploration of the brachial artery.

Published: 20 Jan 2019    Authors Ιωάννης Δελνιώτης    Collaboration : 0 Please describe the reason of visit / Comments

  • Abstract
  • Main Body
  • Discussion
  • Declarations
  • Conclusions
  • PubCast Figures
  • References
  • Collaboration

References

  1. This PubCast has no references content yet. Please review the other parts (tabs) of it.

Give PubCast a Hello | Current rate (0)

Keywords

supracondular humeral fracture
children

Pubcast info

  • Title :management of the pediatric pulseless supracondylar humeral fracture: a systematic review and comparison study of "watchful expectancy strategy" versus surgical exploration of the brachial artery.
  • Ιωάννης Δελνιώτης
  • Publication Date: 20 Jan 2019
  • DOI: 003. 17912978
Communicate this PubCast on Social media

Blog Description

BACKGROUND:

Pulseless hand after a supracondylar humeral fracture (SHF) in children is well known in the bibliography. Although things are clearer in the management of a "pale pulseless hand," controversy still exists about the "pink pulseless hand" (PPH).

METHODS:

We reviewed the literature from the electronic database PubMed for studies with main object the vascular injuries after SHF in children and especially the pulseless hand. The primary search terms were "supracondylar humeral fracture" and "vascular injuries". In our final study, 16 articles were gathered and analyzed.

RESULTS:

We collected 608 pulseless SHFs, regardless of the vascular status, 203 PPHs, and 109 pale pulseless hands. We compared two different strategy methods when the hand remained pulseless after the reduction and fixation of the fracture: (1) the close observation strategy and (2) the surgical exploration of the artery. The close observation strategy was the treatment of choice in PPH, whereas the surgical exploration of the brachial artery was mostly performed in pale pulseless hands.

CONCLUSIONS:

Closed reduction and fixation of the fracture should be the priority in all pulseless SHFs, both pink and pale. In poorly perfused pale hands, after the reduction and fixation of the fracture, there is a chance that radial pulse may return (we found that this chance is approximately 30%). If not, immediate surgical exploration of the artery is strongly indicated. In well-perfused pink hands, the traditional dogma of "watchful waiting" should not be revisited as long as no signs of deterioration of the vascular status appear.

Give PubCast a Hello | Current rate (0)

Keywords

supracondular humeral fracture
children

Pubcast info

  • Title :management of the pediatric pulseless supracondylar humeral fracture: a systematic review and comparison study of "watchful expectancy strategy" versus surgical exploration of the brachial artery.
  • Ιωάννης Δελνιώτης
  • Publication Date: 20 Jan 2019
  • DOI: 003. 17912978
Communicate this PubCast on Social media

PubCast Image

This PubCast has no images content yet. Please review the other parts (tabs) of it.

Give PubCast a Hello | Current rate (0)

Keywords

supracondular humeral fracture
children

Pubcast info

  • Title :management of the pediatric pulseless supracondylar humeral fracture: a systematic review and comparison study of "watchful expectancy strategy" versus surgical exploration of the brachial artery.
  • Ιωάννης Δελνιώτης
  • Publication Date: 20 Jan 2019
  • DOI: 003. 17912978
Communicate this PubCast on Social media

Add your comment

Submit

Abstract

BACKGROUND:

Pulseless hand after a supracondylar humeral fracture (SHF) in children is well known in the bibliography. Although things are clearer in the management of a "pale pulseless hand," controversy still exists about the "pink pulseless hand" (PPH).

METHODS:

We reviewed the literature from the electronic database PubMed for studies with main object the vascular injuries after SHF in children and especially the pulseless hand. The primary search terms were "supracondylar humeral fracture" and "vascular injuries". In our final study, 16 articles were gathered and analyzed.

RESULTS:

We collected 608 pulseless SHFs, regardless of the vascular status, 203 PPHs, and 109 pale pulseless hands. We compared two different strategy methods when the hand remained pulseless after the reduction and fixation of the fracture: (1) the close observation strategy and (2) the surgical exploration of the artery. The close observation strategy was the treatment of choice in PPH, whereas the surgical exploration of the brachial artery was mostly performed in pale pulseless hands.

CONCLUSIONS:

Closed reduction and fixation of the fracture should be the priority in all pulseless SHFs, both pink and pale. In poorly perfused pale hands, after the reduction and fixation of the fracture, there is a chance that radial pulse may return (we found that this chance is approximately 30%). If not, immediate surgical exploration of the artery is strongly indicated. In well-perfused pink hands, the traditional dogma of "watchful waiting" should not be revisited as long as no signs of deterioration of the vascular status appear.

Give PubCast a Hello | Current rate (0)

Keywords

supracondular humeral fracture
children

Pubcast info

  • Title :management of the pediatric pulseless supracondylar humeral fracture: a systematic review and comparison study of "watchful expectancy strategy" versus surgical exploration of the brachial artery.
  • Ιωάννης Δελνιώτης
  • Publication Date: 20 Jan 2019
  • DOI: 003. 17912978
Communicate this PubCast on Social media

Main Body

This PubCast has no main body content yet. Please review the other parts (tabs) of it.

Give PubCast a Hello | Current rate (0)

Keywords

supracondular humeral fracture
children

Pubcast info

  • Title :management of the pediatric pulseless supracondylar humeral fracture: a systematic review and comparison study of "watchful expectancy strategy" versus surgical exploration of the brachial artery.
  • Ιωάννης Δελνιώτης
  • Publication Date: 20 Jan 2019
  • DOI: 003. 17912978
Communicate this PubCast on Social media

Discussion

This PubCast has no Discussion content yet. Please review the other parts (tabs) of it.

Give PubCast a Hello | Current rate (0)

Keywords

supracondular humeral fracture
children

Pubcast info

  • Title :management of the pediatric pulseless supracondylar humeral fracture: a systematic review and comparison study of "watchful expectancy strategy" versus surgical exploration of the brachial artery.
  • Ιωάννης Δελνιώτης
  • Publication Date: 20 Jan 2019
  • DOI: 003. 17912978
Communicate this PubCast on Social media

Declarations

This PubCast has no Declarations content yet. Please review the other parts (tabs) of it.

Give PubCast a Hello | Current rate (0)

Keywords

supracondular humeral fracture
children

Pubcast info

  • Title :management of the pediatric pulseless supracondylar humeral fracture: a systematic review and comparison study of "watchful expectancy strategy" versus surgical exploration of the brachial artery.
  • Ιωάννης Δελνιώτης
  • Publication Date: 20 Jan 2019
  • DOI: 003. 17912978
Communicate this PubCast on Social media

Conclusions

This PubCast has no conclusions content yet. Please review the other parts (tabs) of it.

Give PubCast a Hello | Current rate (0)

Keywords

supracondular humeral fracture
children

Pubcast info

  • Title :management of the pediatric pulseless supracondylar humeral fracture: a systematic review and comparison study of "watchful expectancy strategy" versus surgical exploration of the brachial artery.
  • Ιωάννης Δελνιώτης
  • Publication Date: 20 Jan 2019
  • DOI: 003. 17912978
Communicate this PubCast on Social media

PubCast Views

Relative Keywords

Arteriovenous fistula; cardiac catheterization; cardiac surgery; cardiovascular disease; coronary artery; fistula; symptomatic
Neutrophils Lymphocytes Monocytes Blood
Platelets Sepsis BacteremiaI nfluenza
Pneumonia
Stratified medicine
Endotypes
Vertical
Trapezius
Musculocutaneus
Flap

DoctorsHello

  • About DoctorsHello
  • Provided Services
  • What is myNetwork
  • What is VideoCast
  • What are eco-Indexes
  • Licensed Doctor?
  • PubMed Publications

Most Valued Services

  • Connect with Doctors
  • Build Medical Profile
  • Share a DI.CO.M exam
  • Reffer a Patient
  • Book an appointment
  • Publish a VideoCast
  • Publish a PubCast
  • Share a Medical Case
  • Build an Anonymous Profile

Useful Links

  • Doctor Verification Process
  • Doctor registration
  • User registration
  • Medical student registration
  • Privacy Policy 
  • Terms of Use
  • Support Center 24|7

Languages

  • (Gr) Greek Version
  • (En) English Version

Connect with Us

All Rights Reserved © DoctorsHello.