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Firth author | Age (years) | Interval till initial presentation | Initial physical exam | Diagnosis | Type of fixation | Intraoperative findings agent |
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Asavamongkolkul and Ruangsetakit [9] | 3 | 7 months | (i) 4 cm mass without erythema or warmth (ii) No pulsation, bruit on auscultation | Brachial angiography | OR via a posterior longitudinal incision and internal fixation with two-crossed K-wire. | Tips of the K-wire were stuck inside the aneurysm. |
Chikande et al. [10] | 6 | 11 days | (i) Painful tumefaction of the medial and distal part of the arm (ii) Fever (iii) Weak radial pulse (iv) Normal cutaneous hand perfusion | Duplex ultrasound and CT angiography | CRIF using 3 K-wire, 2 percutaneous from lateral condyle, and one by a mini-approach on medial epicondyle. | Brachial artery perforation without contacts with wires. |
Hernandez et al. [11] | 7 | 21 days | (i) Medial mass of the elbow, with no palpable thrill, or audible bruit (ii) Distal radial and ulnar pulses were present | Duplex ultrasound and CT angiography | CR and internal fixation with two lateral K-wires under fluoroscopic control. | Injury may be produced by punction humeral artery during the insertion of the wires. |
Cunha et al. [12] | 9 | 12 weeks | (i) Palpable, painless, and pulsatile mass (ii) Distal pulses were symmetric and palpable | Duplex ultrasound | Percutaneously using three K-wire placed divergently in a lateral-to-medial position. | Bone spicula perforating the artery during trauma or the maneuver reduction. |
Got et al. [13] | 6 | 5 weeks | (i) Diminished sensation and strength in the radial nerve distribution (ii) Diminished radial pulse (iii) Continued swelling in the antecubital fossa | Soft tissue sonography. | CR and percutaneous pin fixation of the supracondylar fracture with 3 lateral K-wire. | The pseudoaneurysm was a 1 cm segment of the posterolateral wall of the brachial artery. |
Tepper et al. [4] | 9 | 22 days | (i) Elbow mass, tender to palpation, and no pulsatile quality (ii) No overt palpable thrill (iii) Normal neurovascular examination | Intraoperative diagnosis was done during hematoma evacuation. | CR and percutaneous pin fixation with 2 K-wire inserted from the lateral condyle and divergent across the fracture site. | Ruptured left brachial artery pseudoaneurysm and a complex longitudinal arterial tear at the fracture site. The fixation pins were not near the pseudoaneurysm and were left in place because the fixation remained stable. |
Bhandari et al. [14] | 13 years old | 2 weeks | (i) An expansile swelling of 5 cm diameter with thrill with normal radial pulse | — | CR and k-wire fixation (4 K-wire) | Brachial artery pseudoaneurysm |
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