Axillary artery injury as a complication of proximal humerus fractures

McLaughlin, John A.; Light, Ronald; Lustrin, Irving

doi:10.1016/s1058-2746(98)90058-1

Cited by 66 publications

(49 citation statements)

References 18 publications

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“…Eastcott et al defined the condition as "imminent condition of severe irreversible acute ischemia" [18]. According to this condition danger signs were defined as: [1] waxy pallor, [2] persistent pain and numbness following reduction, [3] coldness of extremity in relation to opposite side, [4] muscle weakness or paralysis, [5] tenderness or rigidity [18]. If angiography reveals extravasation, damage or pseudo aneurysm formation, spontaneous recovery cannot be expected and early vascular intervention is indicated [16].…”

Section: Discussionmentioning

confidence: 99%

Amputation for upper extremity ischemia following shoulder dislocation: case report and a review of literature

Songür¹,

Şahin²,

Kalem³

et al. 2015

Eur Res J

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Section: Discussionmentioning

confidence: 99%

Amputation for upper extremity ischemia following shoulder dislocation: case report and a review of literature

Songür¹,

Şahin²,

Kalem³

et al. 2015

Eur Res J

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“…Usually arterial damage following blunt trauma is uncommon and is usually the result of high-energy injury. However, a case of posterior tibial artery rupture after a closed distal tibial fracture sustained during a low-energy soccer tackle has been reported(7) and cases of axillary artery injury after proximal humerus fracture have also been reported (8,9). Association of vascular injuries with pelvic fractures is not uncommon.…”

Section: Discussionmentioning

confidence: 99%

Neuro-vascular injuries associated with limb fractures

Mirdad¹

2009

E Af Med Jrnl

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Objective: To study the pattern of trauma cases of the extremities associated with neurovascular injury seen at Assir Central Hospital and to evaluate the results and complications in relationship to the modality of treatment. Design: A retrospective study. Settings: Department of Orthopaedics and Traumatology, Assir Central Hospital, Abha, Saudi Arabia. Subjects: Forty three patients with bone fractures associated with vascular and peripheral nerve injury seen at the Emergency Room of Assir Central Hospital from 1990 to 1999. There were 39 males and four females. Thirty five of these patients (81.4%) were Saudi nationals and the rest were non-Saudi. The age range was between 7.5 and 65 years (average 29.6 years). Interventions: All the patients were operated on, and the procedure performed depended on the nature of the injury sustained. Results: Road traffic accidents were the main cause of fractures associated with neurovascular injury. The most commonly fractured bone was humerus (17.1%) and the most commonly injured vessel was brachial artery (32.4%). The most commonly injured nerve was radial nerve (50%). There was one mortality, two cases each of below knee amputation, Volkmann's ischaemic contracture of the forearm and above elbow amputation. Conclusion: Road traffic accidents were a major cause of traumatic morbidity and mortality in Saudi Arabia.

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“…Fractures of the proximal humerus account approximately for 4-5% of all fractures admitted at emergency rooms [2]. Only 15% of them show significant displacement and infrequently may be accompanied with vascular disorders, because their proximity to the axillary artery [3].…”

Section: Discussionmentioning

confidence: 99%

“…Shoulder dislocation and hyperabduction with or without associated fracture are the usual causes of blunt trauma to the axillary artery [1]. The least frequent cause of blunt trauma to the axillary artery remains humeral neck fracture [2].…”

Section: Introductionmentioning

confidence: 99%