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Orthopaedics · Elbow trauma: supracondylar fracture
Sample itemA child falls on an outstretched hand and has a supracondylar humeral fracture. Which vascular complication requires repeated examination?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Brachial artery compromise
Supracondylar humeral fractures can endanger the brachial artery and median/anterior interosseous nerve. Distal pulses, perfusion, and nerve function need documented serial assessment.
Option by option
A. Radial artery aneurysm
Radial aneurysm is not the characteristic acute complication.
B. Brachial artery compromise (correct)
Correct. The brachial artery lies close to the distal humerus.
C. Carotid dissection
Carotid dissection is not a typical local complication.
D. Femoral vein thrombosis
Femoral venous thrombosis is unrelated to an elbow fracture.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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