What should be assessed before and after the reduction of a supracondylar fracture in children?

In the context of managing a supracondylar fracture in children, particularly before and after reduction, it is essential to assess the radial pulse. This is crucial because the radial pulse provides information about the vascular status of the affected limb. Analyzing the presence and quality of the radial pulse can help clinicians evaluate whether the blood flow to the hand is compromised due to possible vascular injury, which can occur with such fractures.

After a reduction is performed, re-evaluating the radial pulse allows the clinician to ensure that the vascular status has returned to normal and that there is no persistent injury to the vessels. This check is vital in preventing complications like limb ischemia, which can lead to serious long-term consequences.

While assessing nerve function, capillary refill time, and emotional response might be relevant in a broader clinical context of trauma or injury management, the primary focus immediately related to the vascular order of operations in cases of supracondylar fractures is the assessment of the radial pulse.