A Posttraumatic Brachiocephalic Fistula Associated with a Supracondylar Fracture with a Brachial Artery Traumatic Lesion in a Child

Česká verzia

Authors: R. Burda; M. Kitka
Authors place of work: Klinika úrazovej chirurgie, FNLP, Rastislavova 43, Košice, Slovenská republika, prednosta kliniky prof. MUDr. Miroslav Kitka, Ph. D.
Published in the journal: Rozhl. Chir., 2008, roč. 87, č. 12, s. 636-638.
Category: Monothematic special - Original

Summary

Supracondylar fractures of the distal humerus in children are one of the most frequent fractures in children. Generally complications include vascular injury, neurologic deficit, elbow stiffness, myositis ossificans, nonunion, avascular necrosis, angular deformity.

Vasular complications usually involve arterial spasmus or tear of a. brachialis, compartment syndome and ischemic syndrome of upper extremity.

Formation of posttraumatic brachiocephalic arteriovenous fistula is extremely rare complication following reconstruction of the brachial artery associated with open supracondylar fracture of the distal humerus.

We present an unusual case of formation of arteriovenous fistula following brachial artery reconstruction. We suppose that this complication should be considered as late vascular complication of childrens supracondylar fracture of the distal humerus.

Key words:
posttraumatic brachiopcephalic arteriovenous fistula – open supracondylar fracture in children – vascular complication of fractures

Zdroje

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