Pediatric Supracondylar Humerus Fractures and Vascular Injuries: A Cross-sectional Study Based on the National Trauma Data Bank

Abstract Objective Supracondylar humerus (SCH) fractures represent one of the most commonly treated fractures. We sought to determine: 1) how often SCH fractures are associated with vascular injury; 2) mechanism of injuries; 3) where cases are treated 4) time to operating room (OR); and 5) length of stay (LOS). Methods The 2007-2014 National Trauma Data Bank (NTDB) data were analyzed for all patients Results We identified a total of 53,571 pediatric patients over eight years with SCH fractures. Vascular injuries occurred in 149 patients (0.3%), which were significantly more common with open fractures (p Conclusion The percentage of vascular injuries associated with SCH fractures in pediatric patients remains low (0.3%). The majority of pediatric patients with these injuries are treated at level 1 pediatric trauma centers. Level of Evidence Therapeutic, III;