Open Exploration for No Pulse and Perfused Hand
We cannot recommend for or against open exploration of the antecubital fossa in patients with absent wrist pulses but with a perfused hand after reduction of displaced pediatric supracondylar humerus fractures.
Rationale
There are no data to address the incidence and the impact of the clinical circumstance of a reduced pediatric supracondylar fracture with a perfused hand but absent wrist pulse, nor can the likelihood of avoiding adverse outcomes from this circumstance by open exploration of the antecubital fossa.