Management of Supracondylar Fracture with Brachial Artery Thrombosis in a Child: Case Report and Literature Review

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Abstract

Brachial artery thrombosis following prompt reduction of a supracondylar fracture of the humerus in a 7-year-old is described. Persisting absence of the distal pulses in a viable extremity may herald the insidious development of Volkmann's ischemia. Pulse volume recordings provide a safe, objective means of evaluation. Arteriography by direct open technique avoids the hazards of percutaneous puncture in children.

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