الفهرس 
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Abstract
Introduction: Supracondylar fracture of the humerus (SFH) is the most common fracture of the elbow in the pediatric population (60%). It mostly occurs by falling on an out-stretched hand. The incidence of vascular injury in children after a completely displaced supracondylar fracture has been reported to be around 12%, with the brachial artery being most commonly involved (38% of all cases in Campbell et al. series). (Wu et al., 2002; Mohammadzadeh et al., 2012). The Aim of this study: The purpose of this study is to determine the incidence of vascular injuries in Supracondylar humeral fractures. Materials and methods: This is a prospective observational analytical study that included pediatric patients who will be presented by SFH to the Emergency Hospital (MUEH), Mansoura University Mansoura, Egypt: a level 1 trauma center with about 250,000 visits and 25000 trauma cases admission per year. This study will be conducted over the period of 1 year (from January 2020 to January 2021). Results: The current revealed that: The average age of the studied cases was 6.25,The percentage of male/female (M/F) was 57/43 and Most of the studied cases had grade I followed by grade II then grade IV and grade III. Hard and soft signs were recorded in 6% and 11% of cases respectively. Doppler US was Abnormal in 9%and normal in 91% of cases. Incidence of vascular injury was reported in 11% of the studied cases. Incidence of vascular injury was demonstrated to be significantly increased with increased age and male sex and advanced grades of fractures . The outcome of the studied cases was worse in patients with vascular injuries as cases with vascular injuries had more surgical intervention, more ICU admission, with significant statistical differences between the 2 study groups. Conclusion: Vascular injury seems to be a frequent critical adverse event of pediatric supracondylar humeral fractures which was demonstrated to be correlated positively with advanced grades of fractures (III and IV). Keywords: vascular injury- Suprachondylar humeral fracture – Incidence in pediatrics.