New AUC Addresses Vascular Injury in Pediatric Humerus Fracture

Terry Stanton

Vascular injuries accompanying pediatric supracondylar humerus fractures are relatively uncommon but potentially devastating. A newly issued Appropriate Use Criteria (AUC) application from the Academy ( provides surgeons with guidance in diagnosing and managing these injuries.

“Orthopaedists are generally comfortable in handling humerus fractures,” said James O. Sanders, MD, chair of AAOS AUC within the Committee on Evidence-Based Quality and Value. “However, in the case of a suspected vascular injury, little literature is available to guide the surgeon as to what to do. It may be a once-in-a-blue-moon occurrence, and the surgeon might be not quite comfortable with identifying the best steps for treatment. Our goal was to use the AUC methodology, which is quite good at identifying what is effective and discerning best steps to make excellent clinical decisions. This AUC helps the physician make decisions in an acute situation to ensure that the child will be properly treated.”

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