Management of Vascular Complications in Pediatric Supracondylar Humerus Fractures

Status

Not yet recruiting

Phases

Unknown

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT07488845

Enrollment

Registered

2026-03-23

Start date

2026-04-01

Completion date

2027-05-01

Last updated

2026-03-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Supracondylar Humerus Fracture, Vascular Complications

Brief summary

* To determine the incidence and types of vascular injuries associated with pediatric supracondylar humerus fractures. * Identify outcomes of different management strategies * Identify risk factors for vascular injury

Detailed description

Supracondylar humerus fractures are the most common elbow fractures in children. Because the brachial artery lies anterior to the distal humerus, displaced fractures can cause: Arterial spasm, Intimal injury, Thrombosis, Entrapment or transection) Vascular injury risk increases significantly with higher Gartland classifications of supracondylar humerus fractures, peaking in Type III and Type IV injuries. Vascular compromise can lead to ischemia, compartment syndrome, and long-term functional deficits if not promptly identified and treated. The decision-making around "pink pulseless hand" remains controversial Some centers advocate observation after reduction, while others recommend early exploration.

Interventions

PROCEDUREvascular exploration

Patients with no pulse or distal doppler signals, and delayed capillary refill time will undergo immediate vascular exploration and injuries will be documented and managed accordingly.

Study design

Allocation

NON_RANDOMIZED

Intervention model

FACTORIAL

Primary purpose

SCREENING

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

No minimum to 15 Years

Healthy volunteers

Inclusion criteria

* ● Children Diagnosed with supracondylar humerus fracture (Gartland I-IV) aged under 15 years. * Presented within 1st 48 hrs of injury.

Exclusion criteria

* ● Old trauma \>48 hours * Previous vascular intervention in the same limb * Another fracture in the same limb

Design outcomes

Primary

Measure	Time frame
incidence of vascular complications in patients with supracondylar humerus fractures	baseline

Secondary

Measure	Time frame
Predictors of vascular complications in pediatric supracondylar humerus fractures.	baseline

Countries

Egypt

Contacts

CONTACTMina Mamdouh Fakher

minamamdouhf1999@gmail.com+201017243109

CONTACTHesham Elsayed Aboloyon

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Mar 24, 2026