Blunt Brachial Arterial Injury in Pediatric Patients

jpedsurg.org

Blunt brachial arterial injury (BBAI) is the most common vascular injury in pediatric patients. BBAI can lead to a spectrum of clinical signs and symptoms in the affected extremity, depending on the degree of occlusion and the robustness of the collateral circulation. The proper treatment ranges from expectant and conservative medical management to surgical revascularization. Although the management depends on the degree of ischemia, there is still controversy about the treatment algorithm for a pink pulseless hand following BBAI.

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Article · Jun 2025 · 1 min read

In brief

This article addresses blunt brachial arterial injury, the most common vascular injury in children, covering its variable clinical presentations and treatment approaches. Management ranges from conservative observation to surgical revascularization based on ischemia severity, with ongoing debate about optimal treatment for the pink pulseless hand phenomenon.

Blunt brachial arterial injury is the most common vascular injury in children.
Clinical presentation varies based on occlusion degree and collateral circulation adequacy.
Treatment ranges from conservative management to surgical revascularization depending on ischemia severity.
Pink pulseless hand after BBAI remains a controversial management scenario with no consensus algorithm.

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