• K J Griffin, S R Walsh, S Markar, T Y Tang, J R Boyle, and P D Hayes.
• Cambridge Vascular Unit, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK. kgriffin@doctors.org.uk
• Eur J Vasc Endovasc Surg. 2008 Dec 1; 36 (6): 697-702.

AbstractSupracondylar fractures of the humerus are the commonest upper limb fractures in children, accounting for up to 70% of all paediatric elbow fractures [Wilson MJ, Hunter JB. Supracondylar fractures of the humerus in children--wire removal in the outpatient setting. Injury Extra 2006 Aug;37(8):313-315] and are often complicated by neurovascular injury. Much confusion surrounds the management of the child with a "pink pulseless hand" post-fracture reduction and several treatment options have been proposed including observation, immediate exploration and angiography. The literature contains a number of case series with variable follow-up. Both angiography and colour duplex ultrasound provide little benefit in the management of these patients. A child with a pink pulseless hand post-fracture reduction can be managed expectantly unless additional signs of vascular compromise develop, in which case exploration should be undertaken.

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