False aneurysm of the brachial artery in supracondylar fracture treated with Kirschner wire fixation: a case report

False Aneurysm of the Brachial Artery Secondary to K-Wire Fixation of a Supracondylar Fracture of the Humerus

“…[6][7][8]11 The first case reported of false aneurysm of a brachial artery branch secondary to a supracondylar fracture in children was attributed to an excessive length of the K-wires. 3 Recently a second case has been reported. 5 In that case, the authors did not attribute the vascular injury to the surgical procedure but the high grade of the fracture.…”

“…1 A 10% of supracondylar fractures are associated with vascular injury. 2 Vascular lesions can be caused by sharp fracture edges or by the insertion of Kirschner-wires (K-wires) through a perforating or lacerating mechanism, 3 or they can also be caused by blunt trauma through a shearing or avulsion mechanism. 4 The false aneurysm is a rarely diagnosed complication of supracondylar fractures of childhood, it has been reported in only two cases.…”

“…4 The false aneurysm is a rarely diagnosed complication of supracondylar fractures of childhood, it has been reported in only two cases. 3,5 The most common cause of false aneurysms of the brachial artery in children is the venipuncture. [6][7][8][9][10][11] Case Report A 7-year-old boy suffered a displaced extension type of supracondylar fracture (Garland II type) of the left humerus after sport accident (►Figs.…”

Delayed rupture of a pseudoaneurysm in the brachial artery of a burn reconstruction patient

“…Its etiology can be largely classified into three types: congenital [3]; association with systemic disease, such as Ehlers-Danlos syndrome [4], Menkes disease [5], mycotic aneurysm [6,7], polyarteritis nodosa [8], giant cell arteritis [9], Behcet disease [10], Kawasaki’s disease [11], neurofibromatosis [12], and osteochondroma [13]; and sequelae of trauma, including brachial artery arteriography [14], crutch use [15], humerus fracture [16], supracondylar fracture [17], iatrogenic injury [18], blunt trauma [19], drug abuse [20], and missile injury [21]. The clinical features of brachial artery pseudoaneurysm by etiology are summarized in Table 1.…”

Microsurgical reconstruction of brachial artery injuries in displaced supracondylar fracture humerus in children

“…It has big value in doubtful cases, specially cases with absent radial pulse and pink hand. Many authors 1,[25][26][27] recommend surgical exploration of a suspected brachial artery injury in contrast to conservative approach recommended by others. 6,[17][18][19] A further advantage of surgical exploration is that the fracture can be reduced under direct vision, thereby avoiding further damage to the neurovascular bundle.…”