CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2023; 58(04): e672-e675
DOI: 10.1055/s-0040-1722580
Relato de Caso
Ortopedia Pediátrica
Article in several languages: português | English
1   Residente, Serviço de Ortopedia e Traumatologia, Hospital de Curry Cabral, Centro Hospitalar Universitário de Lisboa Central, Portugal
,
Pedro Fernandes
2   Residente, Serviço de Ortopedia e Traumatologia, Centro Hospitalar de Lisboa Ocidental, Portugal
,
Patrícia Wircker
3   Residente, Serviço de Ortopedia e Traumatologia, Hospital de Cascais, Portugal
,
Joana Catarino
4   Residente, Serviço de Cirurgia Vascular, Hospital de Santa Marta, Centro Hospitalar Universitário de Lisboa Central, Portugal
,
Joana Arcângelo
5   Cirurgião Ortopédico, Serviço de Ortopedia Infantil, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Portugal
,
Joana Ovídio
5   Cirurgião Ortopédico, Serviço de Ortopedia Infantil, Hospital de Dona Estefânia, Centro Hospitalar Universitário de Lisboa Central, Portugal
› Author Affiliations

Abstract

Deep vein thrombosis in the upper extremities is uncommon, especially in the pediatric population and in the trauma setting. The diagnosis is challenging, due to its rarity, requiring a high degree of suspicion.

We describe a rare case of humeral vein thrombosis after a displaced supracondylar fracture of the humerus in a 7-year-old girl. The risk factors for thromboembolism and sequelae are also discussed.

The early detection and treatment are mandatory to prevent poor outcomes, such as fatal thromboembolism.

Ethics Statement

The present study was performed in compliance with the World Medical Association's Declaration of Helsinki on Ethical Principles for Medical Research Involving Human Subjects.


Financial Support

The authors declare that they have received no financial support for the research, authorship and/or publication of the present article.


* Work developed at the Orthopedics and Traumatology Service at Centro Hospitalar Universitário of Lisboa Central, Portugal.




Publication History

Received: 02 June 2020

Accepted: 16 September 2020

Article published online:
31 March 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • Referências

  • 1 Claireaux H, Goodall R, Hill J. et al. Multicentre collaborative cohort study of the use of Kirschner wires for the management of supracondylar fractures in children. Chin J Traumatol 2019; 22 (05) 249-254
  • 2 Saarinen AJ, Helenius I. Paediatric supracondylar humeral fractures: the effect of the surgical specialty on the outcomes. J Child Orthop 2019; 13 (01) 40-46
  • 3 Leiblein M, Lustenberger T, Schulz A-K, Schmitz-Rixen T, Marzi I. Neurovascular complications after supracondylar humerus fractures in children. Trauma Case Rep 2017; 8: 16-19
  • 4 Louahem D, Cottalorda J. Acute ischemia and pink pulseless hand in 68 of 404 gartland type III supracondylar humeral fractures in children: Urgent management and therapeutic consensus. Injury 2016; 47 (04) 848-852
  • 5 Mahajerin A, Croteau SE. Epidemiology and Risk Assessment of Pediatric Venous Thromboembolism. Front Pediatr 2017; 5: 68
  • 6 Baker D, Sherrod B, McGwin Jr G, Ponce B, Gilbert S. Complications and 30-day outcomes associated with venous thromboembolism in the pediatric orthopaedic surgical population. J Am Acad Orthop Surg 2016; 24 (03) 196-206
  • 7 Guzman D, Sabharwal S, Zhao C, Sabharwal S. Venous thromboembolism among pediatric orthopedic trauma patients: a database analysis. J Pediatr Orthop B 2018; 27 (02) 93-98
  • 8 O'Brien SH, Candrilli SD. In the absence of a central venous catheter, risk of venous thromboembolism is low in critically injured children, adolescents, and young adults: evidence from the National Trauma Data Bank. Pediatr Crit Care Med 2011; 12 (03) 251-256
  • 9 Tomaszewski R, Wozowicz A, Wysocka-Wojakiewicz P. Analysis of Early Neurovascular Complications of Pediatric Supracondylar Humerus Fractures: A Long-Term Observation. BioMed Res Int 2017; 2017: 2803790
  • 10 Soh RCC, Tawng DK, Mahadev A. Pulse oximetry for the diagnosis and prediction for surgical exploration in the pulseless perfused hand as a result of supracondylar fractures of the distal humerus. Clin Orthop Surg 2013; 5 (01) 74-81