Case report| Volume 38, ISSUE 6, P1087-1089, December 1955

Segmental arterial spasm of the brachial artery

Report of case treated by procaine into median nerve
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      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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