A 4-year-old girl presented to the emergency department after falling from a climbing frame onto her left arm. She was diagnosed as having a supracondylar fracture clinically and radiologically. The fracture was treated with closed reduction and crossed K-wire fixation. Subsequent to the reduction clinical examination could not identify a palpable radial pulse. At that point she transferred to a tertiary vascular centre. On arrival, repeat neurovascular examination demonstrated an anterior interosseous nerve palsy, a non-palpable radial pulse and a capillary refill time of …