Axillary artery injury after an anterior shoulder fracture dislocation and “periosteal sleeve avulsion of the rotator cuff” (SARC). Case report and review of the literature

Chehata, Ash; Morgan, Francis J.; Bonato, Luke

doi:10.1016/j.tcr.2017.01.010

Cited by 9 publications

(5 citation statements)

References 29 publications

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“…Axillary artery thrombosis following closed reduction of an anterior shoulder dislocation is rarely reported in the literature, despite the relatively high frequency of shoulder dislocation relative to other orthopedic injuries. The majority of reported cases of axillary artery injury in the setting of glenohumeral dislocation occurred in patients over the age of 50, with loss of arterial elasticity and increased atherosclerosis considered major contributing factors [21]. Arterial throm-bosis, a rare subset of arterial pathologies following traumatic musculoskeletal injuries, is thought to be due to due to a combination of stasis, hypercoagulability, and endothelial damage, otherwise known as Virchow's triad [22].…”

Section: Discussionmentioning

confidence: 99%

"Pulseless Upper Extremity Following Closed Reduction of a Dislocated Shoulder: A Case Report and Review of the Literature"

Schwartz

2023

BJSTR

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Anterior shoulder dislocation is one of the most common orthopaedic injuries treated in the emergency department. While associated vascular injuries are rare, they can be a potentially devastating complication, usually seen after high-energy or penetrating trauma. Therefore, a complete neurovascular exam is critical on initial presentation. We present the case of a 58-year-old male who experienced severe right upper extremity pain and numbness approximately eight hours after closed reduction of an anterior shoulder dislocation. He was ultimately found to have thrombosis of the axillary artery requiring emergent embolectomy and prophylactic fasciotomies. Although uncommon, vascular injury must be ruled out in all patients with a shoulder dislocation before and after closed reduction.

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Section: Discussionmentioning

confidence: 99%

"Pulseless Upper Extremity Following Closed Reduction of a Dislocated Shoulder: A Case Report and Review of the Literature"

Schwartz

2023

BJSTR

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“…15 On the prereduction radiograph also in this case, soft tissue appears interposed between the humeral head and the glenoid. An unusually young patient was described by Chehata et al who had an “anterior dislocation.” 5 The 17-year-old boy had in addition to an injury of the axillary artery also a complete avulsion of the cuff and the authors presumed that these injuries were the consequences of an initially inferior dislocation.…”

Section: Discussionmentioning

confidence: 99%

Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms

Wolf

Ekholm²

2022

JSES Reviews, Reports, and Techniques

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“…Because of its anatomic position, axillary artery is prone to injury following a shoulder dislocation. The third part of the artery, which is distal to the pectoralis minor muscle, is the site most commonly injured 9 . In the literature, many theories have been proposed to explain the mechanism of injury.…”

Section: Discussionmentioning

confidence: 99%

Axillary artery laceration after anterior shoulder dislocation reduction

Eyler¹,

Kılıç²,

Turgut³

et al. 2019

Turkish Journal of Emergency Medicine

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Introduction Glenohumeral dislocation is the most commonly encountered dislocation in the emergency department. The most frequent complications of glenohumeral dislocation are rotator cuff tears and an increase in the risk of recurrent dislocation. Less common acute complications include fractures, neurological complications and vascular injuries. The incidence of axillary artery injury associated with shoulder dislocation is reported to be about 1–2%. Case An 81-year-old male presented to the emergency department with pain in the right shoulder after a fall. On physical examination, the shoulder was in slight abduction and external rotation. Shoulder movements were painful and there was a swelling in the axillary region which was tender to palpation. There was no sensory or motor deficit and the peripheral pulses were equal and palpable. Following the administration of analgesics, shoulder reduction was performed using the flexion-adduction-external rotation method. After reduction, the patient started complaining of axillary pain. On control examination, the patient did not have any motor or sensory deficits, but peripheral pulses were not palpable on the right arm. The right upper extremity computed tomography angiography, which was performed with the suspicion of vascular injury, revealed a right axillary artery rupture. Conclusion Axillary artery injury accompanying anterior shoulder dislocation is a rare but serious condition which may result in limb loss and death.

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Axillary artery injury after an anterior shoulder fracture dislocation and “periosteal sleeve avulsion of the rotator cuff” (SARC). Case report and review of the literature

Cited by 9 publications

References 29 publications

"Pulseless Upper Extremity Following Closed Reduction of a Dislocated Shoulder: A Case Report and Review of the Literature"

"Pulseless Upper Extremity Following Closed Reduction of a Dislocated Shoulder: A Case Report and Review of the Literature"

Luxatio erecta of the humerus: the spectrum of injury of inferior shoulder dislocation and analysis of injury mechanisms

Axillary artery laceration after anterior shoulder dislocation reduction

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