Pulse oximetry of pink pulseless hand in supracondylar fracture of humerus in a pediatric patient

Özet

A five-year-old boy was admitted with a supracondylar fracture of the distal humerus. After the closed reduction, the hand was pink, butpersistent absence of radial pulse was revealed. Pulse oximetry detected flattened waveform compared to the unaffected limb. Dopplerultrasound examination suggested distal brachial artery occlusion. During operation, artery dissection was found, the injured segment wasresected, and the vessel was repaired in an end-to-end fashion. In conclusion, pulse oximetry with waveform analysis is a valuable methodfor screening of brachial artery injuries in children with a pink pulseless hand.