{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:23:48Z","timestamp":1782602628308,"version":"3.54.5"},"reference-count":17,"publisher":"British Editorial Society of Bone & Joint Surgery","issue":"11","license":[{"start":{"date-parts":[[2009,11,1]],"date-time":"2009-11-01T00:00:00Z","timestamp":1257033600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/online.boneandjoint.org.uk\/TDM"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["The Journal of Bone and Joint Surgery. British volume"],"published-print":{"date-parts":[[2009,11]]},"abstract":"<jats:p> We compared two management strategies for the perfused but pulseless hand after stabilisation of a Gartland type III supracondylar fracture. We identified 19 patients, of whom 11 were treated conservatively after closed reduction (group 1). Four required secondary exploration, of whom three had median and\/or anterior interosseus nerve palsy at presentation. All four were found to have tethering or entrapment of both nerve and vessel at the fracture site. Only two regained patency of the brachial artery, and one patient has a persistent neurological deficit. <\/jats:p><jats:p> In six of the eight patients who were explored early (group 2) the vessel was tethered at the fracture site. In group 2 four patients also had a nerve palsy at presentation and were similarly found to have tethering or entrapment of both the nerve and the vessel. The patency of the brachial artery was restored in all six cases and their neurological deficits recovered completely. <\/jats:p><jats:p> We would recommend early exploration of a Gartland type III supracondylar fracture in patients who present with a coexisting anterior interosseous or median nerve palsy, as these appear to be strongly predictive of nerve and vessel entrapment. <\/jats:p>","DOI":"10.1302\/0301-620x.91b11.22486","type":"journal-article","created":{"date-parts":[[2009,10,31]],"date-time":"2009-10-31T21:17:52Z","timestamp":1257023872000},"page":"1521-1525","source":"Crossref","is-referenced-by-count":73,"title":["The \u2018pulseless pink\u2019 hand after supracondylar fracture of the humerus in children"],"prefix":"10.1302","volume":"91-B","author":[{"given":"K. S.","family":"Mangat","sequence":"first","affiliation":[{"name":"Birmingham Children\u2019s Hospital, Steelhouse Lane, Birmingham B4 6NH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. G.","family":"Martin","sequence":"additional","affiliation":[{"name":"ABM University Trust, One Talbot Gateway, Baglan Energy Park, Baglan, Port Talbot, SA12 7BR, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C. E.","family":"Bache","sequence":"additional","affiliation":[{"name":"Birmingham Children\u2019s Hospital, Steelhouse Lane, Birmingham B4 6NH, UK."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"42","reference":[{"key":"R1","doi-asserted-by":"crossref","unstructured":"Omid R, Choi PD, Skaggs DL. Supracondylar humeral fractures in children. J Bone Joint Surg [Am] 2008;90-A:1121\u201332.","DOI":"10.2106\/JBJS.G.01354"},{"key":"R2","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200601000-00011"},{"key":"R3","unstructured":"Gartland JJ. Management of supracondylar fractures of the humerus in children. Surg Gynecol Obstet 1959;109:145\u201354."},{"key":"R4","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199003000-00004"},{"key":"R5","doi-asserted-by":"publisher","DOI":"10.1097\/01202412-200601000-00013"},{"key":"R6","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199705000-00007"},{"key":"R7","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199608000-00008"},{"key":"R8","doi-asserted-by":"publisher","DOI":"10.1097\/01.bpb.0000236236.49646.03"},{"key":"R9","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-007-0509-4"},{"key":"R10","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-200007000-00010"},{"key":"R11","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B3.16425"},{"key":"R12","doi-asserted-by":"crossref","unstructured":"Lipscomb PR, Burleson RJ. Vascular and neural complications in supracondylar fractures of the humerus in children. J Bone Joint Surg [Am] 1955;37-A:487\u201392.","DOI":"10.2106\/00004623-195537030-00004"},{"key":"R13","unstructured":"Rockwood CA Jr, Wilkins KE, King RE. Fractures in children. Vol. 3. Third ed. Philadelphia: JB Lippincott, 1991:526\u2013617."},{"key":"R14","doi-asserted-by":"crossref","unstructured":"Botte MJ, Gelberman RH. Acute compartment syndrome of the forearm. Hand Clin 1998;14:391\u2013403.","DOI":"10.1016\/S0749-0712(21)00398-X"},{"key":"R15","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.88B1.16869"},{"key":"R16","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199307000-00015"},{"key":"R17","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2008.08.013"}],"container-title":["The Journal of Bone and Joint Surgery. 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