Treatment of pediatric supracondylar humerus fractures accompanied with pink pulseless hands

Abstract Background The optimal treatment for pediatric supracondylar humeral fractures accompanied with a pink pulseless hand is controversial. Some clinicians recommend close observation after closed reduction and percutaneous pinning of the fractures, while some surgical exploration if radial pulse unpalpable. present study aimed to analyze benefits outcomes treating hand. Methods Thirteen consecutive children presenting following fracture were enrolled in this study. Preoperative postoperative color-flow Duplex ultrasound detection was used assess brachial artery compromise most cases. Urgent attempted first. Close carried out when an absent pulse. Results showed no disruption cases detected. Compression by proximal fragment observed cases, one case entrapment between fragments, thrombus considered two All underwent urgent surgery, which nine experienced immediate return remaining four without palpable managed deterioration vascular status observed; therefore, performed. Postoperative revealed continuity rich collateral circulation. Patients completed average 4.5 years follow-up, during major complications occurred. patients achieved excellent limb function. Conclusions Our demonstrates that sufficient approach Surgical not necessary as long warm well perfused. Color-flow beneficial assessing determining strategies.