{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T15:25:31Z","timestamp":1784301931440,"version":"3.55.0"},"reference-count":16,"publisher":"World Scientific Pub Co Pte Ltd","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p> Background: Supracondylar humerus fractures (SCHF) in children are common and can lead to serious complications, including neurovascular injury. The optimal management of children with a \u2018pink pulseless\u2019 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. <\/jats:p><jats:p> Methods: A retrospective analysis of medical records from paediatric patients under 16 years old with SCHF and clinically perfused but pulseless hands between 1 January 2016 and 30 June 2021 was conducted. Clinical characteristics, imaging, treatment processes and follow-up results were analysed to predict arterial injuries requiring vascular repair and determine the optimal timing for exploratory surgery. <\/jats:p><jats:p> Results: The study included 88 patients, predominantly male (58%) with an average age of 6 years. Most fractures resulted from falls onto outstretched arms. Satisfactory outcomes, indicated by the return of the pulse following closed reduction and percutaneous pinning (CRPP) alone, were seen in 66% of patients, negating the necessity for vascular exploration. Amongst patients with a persistently absent radial pulse 72 hours after CRPP, 83% were diagnosed with brachial artery injuries, with all such patients experiencing recurrent pulse loss after surgery. <\/jats:p><jats:p> Conclusions: Urgent reduction and CRPP are effective initial treatments for children with SCHF and a pink pulseless hand. Immediate vascular exploration is generally not necessary in these patients. Further research is needed to determine the optimal management for persistent pulselessness and recurrent pulse loss. <\/jats:p><jats:p> Level of Evidence: Level IV (Therapeutic) <\/jats:p>","DOI":"10.1142\/s2424835524500462","type":"journal-article","created":{"date-parts":[[2024,11,15]],"date-time":"2024-11-15T08:19:32Z","timestamp":1731658772000},"page":"554-560","source":"Crossref","is-referenced-by-count":4,"title":["Treatment of Pink Pulseless Hand Following Supracondylar Fractures of the Humerus in Children"],"prefix":"10.1142","volume":"29","author":[{"given":"Man Duc Minh","family":"PHAN","sequence":"first","affiliation":[{"name":"Pham Ngoc Thach University of Medicine, Ho Chi Minh City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Quynh Nhu","family":"TRAN","sequence":"additional","affiliation":[{"name":"Children\u2019s Hospital Number 1, Ho Chi Minh City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nam Quang Dinh","family":"VO","sequence":"additional","affiliation":[{"name":"Hospital for Traumatology and Orthopaedics, Ho Chi Minh City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kien Thanh","family":"LAM","sequence":"additional","affiliation":[{"name":"City Children\u2019s Hospital, Ho Chi Minh City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phi Duong","family":"NGUYEN","sequence":"additional","affiliation":[{"name":"City Children\u2019s Hospital, Ho Chi Minh City, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"219","published-online":{"date-parts":[[2024,11,14]]},"reference":[{"key":"S2424835524500462BIB001","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181d213a6"},{"key":"S2424835524500462BIB002","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00983"},{"key":"S2424835524500462BIB003","volume-title":"Rockwood and Wilkins fractures in children","author":"Waters PM","year":"2019"},{"key":"S2424835524500462BIB004","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200601000-00011"},{"key":"S2424835524500462BIB005","doi-asserted-by":"publisher","DOI":"10.1097\/BPB.0b013e328342733e"},{"key":"S2424835524500462BIB006","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-007-0509-4"},{"key":"S2424835524500462BIB007","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0000000000001144"},{"key":"S2424835524500462BIB008","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-15-00701"},{"key":"S2424835524500462BIB009","doi-asserted-by":"publisher","DOI":"10.4055\/cios.2013.5.1.74"},{"key":"S2424835524500462BIB010","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2008.08.013"},{"key":"S2424835524500462BIB011","doi-asserted-by":"publisher","DOI":"10.1007\/s43465-020-00273-6"},{"key":"S2424835524500462BIB012","doi-asserted-by":"publisher","DOI":"10.5704\/MOJ.1703.005"},{"key":"S2424835524500462BIB013","doi-asserted-by":"publisher","DOI":"10.3400\/avd.oa.17-00050"},{"key":"S2424835524500462BIB014","doi-asserted-by":"publisher","DOI":"10.1097\/BPO.0b013e3181c6b3a8"},{"key":"S2424835524500462BIB015","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.01584"},{"key":"S2424835524500462BIB016","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-20-02-069"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S2424835524500462","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,29]],"date-time":"2024-11-29T07:11:01Z","timestamp":1732864261000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/10.1142\/S2424835524500462"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,14]]},"references-count":16,"journal-issue":{"issue":"06","published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1142\/S2424835524500462"],"URL":"https:\/\/doi.org\/10.1142\/s2424835524500462","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,14]]}}}