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Abstract
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.
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References
- 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
- ed. 4. Fractures and Joint Injuries. vol. I. Williams & Wilkins Company, Baltimore1952: 98-102
Article info
Publication history
Received:
July 14,
1955
Identification
Copyright
© 1955 Published by Elsevier Inc.
