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VASCULAR AND NEURAL COMPLICATIONS IN SUPRACONDYLAR FRACTURES OF THE HUMERUS IN CHILDREN
Paul R. Lipscomb; R. Joe Burleson
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Section of Orthopaedic Surgery, Mayo Clinic and Mayo Fundation Rochester, Minnesota
1955 by The Journal of Bone and Joint Surgery, Incorporated
The Journal of Bone & Joint Surgery.  1955; 37:487-492 
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Abstract

1. Supracondylar fractures of the humerus in children may be associated with injuries to nerves or blood vessels which are much more serious than the fracture.

2. The early recognition of such complications is imperative.

3. Early and adequate treatment of acute vascular complications is necessary, even though it means surgical exploration of the antecubital fossa and resection of the injured segment of the brachial artery.

4. Adequate and early treatment of acute vascular injuries usually ensures a good prognosis, but delay may lead to serious and permanent disability.

5. Palsies of nerves should be observed for a few weeks after adequate reduction of the fracture. If no improvement has taken place in function of the nerve or nerves in question after this period, surgical exploration is advisable.

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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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