Arm ischemia in a 4-year-old boy with supracondylar fracture of the humerus due to constraining bands over the brachial artery

Keyuree Satam; Anand Brahmandam; Michael Leslie; Tomer Avraham; Cassius Iyad Ochoa Chaar

doi:10.1016/j.jvscit.2023.101218

Arm ischemia in a 4-year-old boy with supracondylar fracture of the humerus due to constraining bands over the brachial artery

Keyuree Satam^*, Anand Brahmandam, Michael Leslie, Tomer Avraham, Cassius Iyad Ochoa Chaar

^*Corresponding author for this work

Surgery, Vascular Surgery Division

Research output: Contribution to journal › Article › peer-review

Abstract

Supracondylar humerus fractures are common in children and can compromise the brachial artery in 5% to 15% of cases. A 4-year-old boy with a left supracondylar fracture developed upper extremity ischemia after pinning of the fracture. Computed tomography angiography revealed cutoff of flow in the brachial artery. Intraoperatively, he was found to have bands tethering the artery into the fracture, obstructing the blood flow. The orthopedic pins were removed, and the constraining bands were lysed to free the artery, with reconstitution of flow confirmed by intraoperative angiography. The fracture was reduced and stabilized, and the patient recovered well with normal arterial flow on follow-up ultrasound after 3 months.

Original language	English (US)
Article number	101218
Journal	Journal of Vascular Surgery Cases, Innovations and Techniques
Volume	9
Issue number	3
DOIs	https://doi.org/10.1016/j.jvscit.2023.101218
State	Published - Sep 2023

Funding

The editors and reviewers of this article have no relevant financial relationships to disclose per the Journal policy that requires reviewers to decline review of any manuscript for which they may have a conflict of interest.

Keywords

Arterial entrapment
Brachial artery
External fixation
Pediatric vascular surgery
Supracondylar fracture

ASJC Scopus subject areas

Surgery
Cardiology and Cardiovascular Medicine

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.jvscit.2023.101218

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@article{aa072e623f0444b19c3170a334592609,

title = "Arm ischemia in a 4-year-old boy with supracondylar fracture of the humerus due to constraining bands over the brachial artery",

abstract = "Supracondylar humerus fractures are common in children and can compromise the brachial artery in 5% to 15% of cases. A 4-year-old boy with a left supracondylar fracture developed upper extremity ischemia after pinning of the fracture. Computed tomography angiography revealed cutoff of flow in the brachial artery. Intraoperatively, he was found to have bands tethering the artery into the fracture, obstructing the blood flow. The orthopedic pins were removed, and the constraining bands were lysed to free the artery, with reconstitution of flow confirmed by intraoperative angiography. The fracture was reduced and stabilized, and the patient recovered well with normal arterial flow on follow-up ultrasound after 3 months.",

keywords = "Arterial entrapment, Brachial artery, External fixation, Pediatric vascular surgery, Supracondylar fracture",

author = "Keyuree Satam and Anand Brahmandam and Michael Leslie and Tomer Avraham and {Ochoa Chaar}, {Cassius Iyad}",

note = "Publisher Copyright: {\textcopyright} 2023 The Author(s)",

year = "2023",

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doi = "10.1016/j.jvscit.2023.101218",

language = "English (US)",

volume = "9",

journal = "Journal of Vascular Surgery Cases, Innovations and Techniques",

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T1 - Arm ischemia in a 4-year-old boy with supracondylar fracture of the humerus due to constraining bands over the brachial artery

AU - Satam, Keyuree

AU - Brahmandam, Anand

AU - Leslie, Michael

AU - Avraham, Tomer

AU - Ochoa Chaar, Cassius Iyad

PY - 2023/9

Y1 - 2023/9

N2 - Supracondylar humerus fractures are common in children and can compromise the brachial artery in 5% to 15% of cases. A 4-year-old boy with a left supracondylar fracture developed upper extremity ischemia after pinning of the fracture. Computed tomography angiography revealed cutoff of flow in the brachial artery. Intraoperatively, he was found to have bands tethering the artery into the fracture, obstructing the blood flow. The orthopedic pins were removed, and the constraining bands were lysed to free the artery, with reconstitution of flow confirmed by intraoperative angiography. The fracture was reduced and stabilized, and the patient recovered well with normal arterial flow on follow-up ultrasound after 3 months.

AB - Supracondylar humerus fractures are common in children and can compromise the brachial artery in 5% to 15% of cases. A 4-year-old boy with a left supracondylar fracture developed upper extremity ischemia after pinning of the fracture. Computed tomography angiography revealed cutoff of flow in the brachial artery. Intraoperatively, he was found to have bands tethering the artery into the fracture, obstructing the blood flow. The orthopedic pins were removed, and the constraining bands were lysed to free the artery, with reconstitution of flow confirmed by intraoperative angiography. The fracture was reduced and stabilized, and the patient recovered well with normal arterial flow on follow-up ultrasound after 3 months.

KW - Arterial entrapment

KW - Brachial artery

KW - External fixation

KW - Pediatric vascular surgery

KW - Supracondylar fracture

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Arm ischemia in a 4-year-old boy with supracondylar fracture of the humerus due to constraining bands over the brachial artery

Abstract

Funding

Keywords

ASJC Scopus subject areas

UN SDGs

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