Duplex ultrasound for assessing vascular impairment after supracondylar humerus fractures.

ABSTRACT:

Background

Supracondylar humerus fractures (SHF) are the second most common fracture in children and the most common fracture in children under seven years. Subtle neurovascular lesions in displaced SHF may be underdiagnosed clinically, but their sequelae can mean life-long symptoms. Here we show that color-coded duplex ultrasound (DUS) could help to identify these patients.

Methods

We reviewed records of 229 children who had recovered from SHF. Ninety patients were available for detailed questionnaires, in-depth neurovascular examinations, and DUS.

Results

In 90 examined patients, only two had been known to have suffered from vascular complications before our study. Only one still complained spontaneously about perfusion-induced symptoms. Qualitative changes in blood

SUBMITTER: Storch K 

PROVIDER: S-EPMC9276126 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature