Factors Limiting Extremity Function Following Vascular Injury

A review of vascular surgery in the pediatric population

“…In peripheral vascular trauma, nerve damage is a dominant variable impacting long-term functional outcome, and the extent of nerve injury corresponds with return of function, with nerve transection presenting the poorest outcome [22,33]. However, neurologic deficit at presentation has not been found to correlate well with anatomic nerve injury at operation [32].…”

Arterial Injuries in Children

“…Twenty-four patients had noniatrogenic injuries and five had iatrogenic trauma. Blunt trauma accounted for the majority of the injuries seen (11), followed in frequency by gunshot wounds (nine) and penetrating injuries from glass or metal (five). Four patients had injuries incurred during angiographie procedures.…”

“…The most common signs were absent or diminished distal pulse (17 cases), distal limb ischemia (11), and hematoma formation (five). These were followed by two patients each with hemorrhage, shock, and abdominal tenderness, and one patient with bruit/thrill.…”

“…\s=b\ Twenty-nine children sustained major arterial injuries secondary to gunshot wounds (nine), blunt injuries (11), penetrating injuries by sharp objects (five), and arteriographic injury (four). The femoral artery was most commonly injured, followed by the brachial, the carotid, subclavian, popliteal, aorta, innominate, and vertebral arteries.…”

Crush Injury in Two Earthquake Disasters within a 3-Month Period

“…Compartment syndrome was assessed according to serial physical examinations, clinical observation [1,2], and blood flow in hand-held Doppler stethoscope examination. We did not use other equipment to measure compartment pressure because of the emergency situation and chaotic circumstances.…”