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Year : 2022  |  Volume : 19  |  Issue : 3  |  Page : 68-76

Pulseless supracondylar fracture of the humerus: Guidelines for management

Department of Paediatric Orthopaedic Surgery, Rainbow Children's Hospital, Bengaluru, Karnataka, India

Correspondence Address:
Jayanth Sundar Sampath
Rainbow Children's Hospital, Bengaluru, Karnataka
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2667-3665.346024

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Introduction: The management of supracondylar fractures of the humerus in children without a palpable radial pulse is the subject of considerable controversy in the literature. The incidence of pulseless extremity ranges from 2% to 24% in different series. Materials and methods: A detailed physical examination and appropriate use of various imaging modalities will assist in determining the need for vascular exploration. These injuries are surgical emergencies that require immediate operative intervention. Therefore, units that treat supracondylar fractures in children must have protocols in place to avoid unnecessary hesitation or delay. Conclusion: This review article presents the different points of view regarding management of these potentially limb threatening injuries and provides an algorithm for management based on the latest evidence in the literature.

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