This paper is only available as a PDF. To read, Please Download here.
A case of severe supracondylar fracture of the elbow in a child has been reported. The situation was further complicated by absence of the radial pulse and threat of Volkmann's ischemic contracture. The circulatory embarrassment was thought to have been due to mechanical compression of the brachial artery at the site of injury. Instead, there was found at operation a so-called arterial spasm of the brachial artery. The latter was relieved by injection of procaine solution into the median nerve which resulted in full restoration of the circulation in the affected extremity. This method of treatment is considered to be original and is suggested for similar cases of impending ischemia after satisfactory reduction, closed or open, has failed to produce a palpable arterial pulse at the wrist.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Segmental Arterial Spasm Associated With Supracondylar Fracture of the Elbow.S. Clin. North America. 1948; 28: 467-472
- Vascular and Neural Complications in Supracondylar Fractures of the Humerus in Children.J. Bone & Joint Surg. 1955; 37: 487-492
- Fractures and Joint Injuries. vol. I. Williams & Wilkins Company, Baltimore1952: 98-102 ed. 4.
Received: July 14, 1955
© 1955 Published by Elsevier Inc.