Pediatrik humerus suprakondiler k�r�kl� bir hastada ge� geli�en brakiyal arter trombozu ve total ge�ici sinir paralizisi:  Olgu sunumu

Ege, Tolga; T�rkkan, Selim; G�nay, Celalettin; K�lah��, Yal��n; K�rkl�, Mustafa

Cilt : 30 Say� : 12 Y�l : 2024

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Pediatrik humerus suprakondiler k�r�kl� bir hastada ge� geli�en brakiyal arter trombozu ve total ge�ici sinir paralizisi: Olgu sunumu [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2015; 21(1): 75-78 | DOI: 10.5505/tjtes.2015.92072

Pediatrik humerus suprakondiler k�r�kl� bir hastada ge� geli�en brakiyal arter trombozu ve total ge�ici sinir paralizisi: Olgu sunumu

Tolga Ege¹, Selim T�rkkan², Celalettin G�nay³, Yal��n K�lah��², Mustafa K�rkl�²
¹G�lhane Askeri T�p Fak�ltesi Ortopedi Ve Travmatoloji Klini�i
²G�lhane Askeri T�p Fak�ltesi El Cerrahisi Klini�i
³G�lhane Askeri T�p Fak�ltesi Kalp Damar Cerrahisi

�ocukluk �a�� humerus suprakondiler k�r�klar� hem k�r�ktan kaynaklanan deformite hem de k�r�k u�lar�n�n keskin yap�s� nedeni s�kl�kla n�rovask�ler komplikasyonlara yol a�maktad�r. Yeterli tedavi edilmedikleri takdirde Volkmann iskemik kontrakt�r� veya amputasyon gibi katastrofik komplikasyonlara yol a�abilmektedirler. Bilgimize g�re literat�rde ameliyat �ncesi d�nemde normal n�rovask�ler muayenesi olup ameliyat sonras� ge� d�nemde brakiyal arter trombozu ile birlikte total sinir paralizisi hen�z bildirilmemi�tir. �al��mam�zda iki ya� alt� ayl�k olan �ocuk hastada kaym�� humerus suprakondiler k�r��n�n ameliyat sonras� d�neminde geli�en brakiyial arter trombozunun embolektomi yap�larak tedavisini sunmay� ama�lad�k.
Total median, ulnar ve radial sinir lezyonlar�, ameliyat sonras� d�rd�nc� ayda tamamen d�zeldi. Sonu� olarak, �zellikle ciddi olarak kaym�� pediatrik humerus suprakondiler k�r�klar�nda ameliyat �ncesi d�nemde elin dola��m� iyi olsa dahi, ameliyat sonras� d�nemde n�rovask�ler inceleme yak�nen yap�lmal�d�r.

Anahtar Kelimeler: Brakiyal arter trombozu, ge� d�nem, humerus; k�r�k; suprakondiler; total paralizi.

Late onset brachial artery thrombosis and total temporary peripheral neuropathy in a child with humerus supracondylar fracture: a case report

Tolga Ege¹, Selim T�rkkan², Celalettin G�nay³, Yal��n K�lah��², Mustafa K�rkl�²
¹G�lhane Military Medical Academy Deparment Of Orthopedics And Traumatolgy
²G�lhane Military Medical Academy Deparment Of Hand Surgery
³G�lhane Military Medical Academy Deparment Of Cardiovascular Surgery

Pediatric supracondylar fractures of the humerus are generally associated with neurovascular complications due to the deformity and sharp nature of bone fragments. When treated inadequately, these injuries may result in catastrophic complications, such as Volkmann�s contracture and amputation. To our knowledge, late onset brachial arterial thrombosis and total temporary peripheral neuropathy after surgery of pediatric supracondylar fracture in the setting of normal preoperative vascular examination has not been reported yet. In this study, a 2-year and 6- month-old girl, who had delayed brachial arterial thrombosis after a displaced humerus supracondylar fracture surgery treated with embolectomy, was reported. Total lesion of median, ulnar and radial nerves completely resolved four months after surgery. Close neurovascular monitoring on the postoperative phase especially in severely displaced supracondylar fractures is strongly emphasized even in the setting of well-perfused hand.

Keywords: Brachial artery, supracondylar fracture, thrombosis.

Sorumlu Yazar: Tolga Ege, T�rkiye
Makale Dili: �ngilizce

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