NCT07488845

Management of Vascular Complications in Pediatric Supracondylar Humerus Fractures

• Status: Not Yet Recruiting
• Phase: N/A
• Study type: Interventional
• Enrollment: 50 (estimated)
• Sponsor: Assiut University · Academic / Other
• Sex: All
• Age: 15 Years
• Healthy volunteers: Not accepted

Summary

* To determine the incidence and types of vascular injuries associated with pediatric supracondylar humerus fractures. * Identify outcomes of different management strategies * Identify risk factors for vascular injury

Detailed description

Supracondylar humerus fractures are the most common elbow fractures in children. Because the brachial artery lies anterior to the distal humerus, displaced fractures can cause: Arterial spasm, Intimal injury, Thrombosis, Entrapment or transection) Vascular injury risk increases significantly with higher Gartland classifications of supracondylar humerus fractures, peaking in Type III and Type IV injuries. Vascular compromise can lead to ischemia, compartment syndrome, and long-term functional deficits if not promptly identified and treated. The decision-making around "pink pulseless hand" remains controversial Some centers advocate observation after reduction, while others recommend early exploration.

Conditions

• Vascular Complications
• Supracondylar Humerus Fracture

Interventions

Type	Name	Description
PROCEDURE	vascular exploration	Patients with no pulse or distal doppler signals, and delayed capillary refill time will undergo immediate vascular exploration and injuries will be documented and managed accordingly.

Timeline

• Start date: 2026-04-01
• Primary completion: 2027-04-01
• Completion: 2027-05-01
• First posted: 2026-03-23
• Last updated: 2026-03-23

Locations

1 site across 1 country: Egypt