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Treatment of Pink Pulseless Hand Following Supracondylar Fractures of the Humerus in Children.
J Hand Surg Asian Pac Vol
December 2024
City Children's Hospital, Ho Chi Minh City, Vietnam.
Supracondylar humerus fractures (SCHF) in children are common and can lead to serious complications, including neurovascular injury. The optimal management of children with a 'pink pulseless' hand following such a fracture is unclear. This study aimed to ascertain an appropriate therapeutic approach for children with SCHF and a pink pulseless hand.
View Article and Find Full Text PDFBilateral Variations of Pronator Teres in the Upper Limb.
Cureus
August 2024
Medical Education, Geisinger Commonwealth School of Medicine, Scranton, USA.
Article Synopsis
- * A study involving dissection of 11 cadavers revealed an unusual origin of the pronator teres muscle from the mid-humerus instead of the typical medial epicondyle, linked to neurovascular variations.
- * The abnormal muscle origin resulted in it being significantly longer (19 cm) than the average pronator teres in other cadavers, highlighting the importance of recognizing anatomical variations during diagnosis and surgical procedures.
An arch worth revisiting: a study on the feline humeral supracondylar foramen and its evolutionary significance.
Biol Open
June 2024
School of Veterinary Medicine, University College Dublin, Belfield, Dublin, Ireland.
The supracondylar foramen with a (seemingly) osseous peripheral arch noticed on the medio-distal feline humeri had remained disputed among anatomists. Some scholars have argued in favor of homology between this foramen and the supracondyloid foramen formed in presence of the ligament of Struthers in humans. Other theories include its presence as a retinaculum holding the median nerve and brachial artery to their anatomical position in a flexed elbow.
View Article and Find Full Text PDFOpen Exploration and Reduction of Paediatric Supracondylar Humerus Fracture with Pink, Pulseless Hand in Resource-Limited Settings.
J Hand Surg Asian Pac Vol
April 2024
Department of Hand and Orthopaedic Surgery, Sanjay Gandhi Institute of Orthopaedics and Trauma, Jayanagar, Bangalore, Karnataka, India.
Supracondylar humerus fractures (SHFs) are common paediatric injuries, with high risk of vascular compromise. Some patients present with a 'pink, pulseless hand', caused by occlusion of brachial artery flow but with collateral circulation preserving distal perfusion. Management of these patients remains controversial, especially when resources may be limited for prolonged hospitalisation and serial monitoring by skilled staff.
View Article and Find Full Text PDFBilateral Median Nerve and Brachial Artery Variations in the Arm: A Case Report.
Cureus
December 2023
Medical Education, Geisinger Commonwealth School of Medicine, Scranton, USA.
During clinical practice, it is essential for physicians to have a sound knowledge of vascular and nerve variations. Patients who present with various clinical signs and symptoms need to be thoroughly investigated with anatomic variations in mind to prevent misdiagnosis. Most nerve variations are related to their formation or their course and are frequently associated with variability of structures that surround them.
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