Axillo-subclavian dissection and pseudoaneurysm following inferior glenohumeral dislocation: Case report and literature review

Elkbuli, Adel; Ehrhardt, John D.; McKenney, Mark; Boneva, Dessy; Martindale, Stacey

doi:10.1016/j.ijscr.2019.11.058

Cited by 3 publications

(8 citation statements)

References 21 publications

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“… 13 , 14 A few case reports demonstrated endovascular treatment using stent grafts for axillary artery injuries in patients with humerus fractures 11 and glenohumeral dislocation. 10 In our case, endovascular treatment of the axillary artery injury via only the right femoral artery approach was impossible. Therefore, we performed the endovascular repair using both the right femoral and right brachial approaches.…”

Section: Discussionmentioning

confidence: 66%

“…In previous case reports, axillary artery injury in patients with humerus fracture or glenohumeral dislocation was confirmed by CT angiography. 10 , 11 We also performed CT angiography and confirmed the injury of the third part of the axillary artery. Our experience and the previous reports highlight the importance of performing CT angiography in patients with suspected axillary artery injury.…”

Section: Discussionmentioning

confidence: 91%

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Bidirectional endovascular treatment for axillary artery injury secondary to proximal humerus fracture: a case report

Kanda

Imagama

Imoto

et al. 2021

European Heart Journal - Case Reports

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Background Axillary artery injury secondary to proximal humerus fracture is a rare but serious complication. The management of this injury has traditionally involved surgical treatment. Case summary A 66-year-old female with gait disturbance slipped and fell off her wheelchair at home. She presented to a local hospital with right shoulder pain and was subsequently urgently transferred to our hospital by helicopter because of suspicion of axillary artery injury. Computed tomography angiography revealed disruption of the right axillary artery. We decided to perform endovascular treatment instead of surgical treatment for axillary artery injury. However, since endovascular treatment via the right femoral artery was impossible, we performed bidirectional (right femoral and right brachial artery approaches) endovascular treatment. We expanded the occluded lesion using a 3.5 mm × 40 mm sized balloon and placed a 5.0 mm × 50 mm stent graft (Gore® Viabahn®) across the lesion. The final subclavian injection confirmed that distal flow to the brachial artery was preserved and that there was no leakage of contrast medium from the axillary artery. Discussion We performed endovascular treatment for axillary artery injury secondary to proximal humerus fracture. Although surgical repair is typically performed for this kind of injury, our experience suggests that endovascular treatment might be an option in patients with axillary artery injury.

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Section: Discussionmentioning

confidence: 66%

Section: Discussionmentioning

confidence: 91%

Bidirectional endovascular treatment for axillary artery injury secondary to proximal humerus fracture: a case report

Kanda

Imagama

Imoto

et al. 2021

European Heart Journal - Case Reports

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“…LEH has an incidence of 0.5%, making it the rarest type of glenohumeral dislocation [1][2][3][4][5][6][7][8][9][10]. Inferior glenohumeral dislocations occur secondary to direct axial loads to an abducted arm or an indirect load caused by rapid hyperabduction to an abducted arm [5,6,8].…”

Section: Discussionmentioning

confidence: 99%

“…After a successful closed reduction, conservative management with upper extremity immobilization for two to four weeks is the standard of treatment for glenohumeral dislocations, including LEH. Patients tend to recover well, especially with targeted physical therapy [ 1 , 2 , 9 ]. While neurovascular complications are most common with LEH compared to anterior or posterior shoulder dislocations, the neurovascular status is commonly restored postreduction [ 2 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

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Luxatio Erecta Humeri After a Ground-Level Fall in an Elderly Woman With a History of Ipsilateral Rotator Cuff Repair: A Case Report

Memar¹,

Stahnke²,

Bauer³

et al. 2022

Cureus

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Luxatio erecta humeri is an infrequent type of glenohumeral dislocation. The pathophysiologic mechanism responsible for luxatio erecta humeri is a traumatic incident of direct axial loading or a rapid hyperabduction injury. Patients commonly present with severe shoulder pain and the classic appearance of their arm externally rotated and stuck in abduction overhead. Radiographs help confirm the diagnosis by showing the humeral shaft parallel to the scapular spine and the humeral head inferior to the glenoid. Prompt recognition, neurovascular assessment, and reduction are necessary. This case details an incident of luxatio erecta humeri in an 83-year-old female after a ground-level fall with a history of ipsilateral rotator cuff repair greater than 20 years ago. She had subjective numbness in her fingers that resolved postreduction. Anesthesia assisted in safely sedating the patient for orthopedics to successfully perform a closed reduction by combining techniques from the two most described maneuvers. The patient was discharged in a shoulder immobilizer for follow-up outpatient and later scheduled for reverse total shoulder arthroplasty.

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Subclavian artery injury secondary to blunt trauma successfully managed by median sternotomy with supraclavicular extension: A case report and literature review

Elkbuli

Kinslow

Dowd

et al. 2020

Annals of Medicine and Surgery

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Axillo-subclavian dissection and pseudoaneurysm following inferior glenohumeral dislocation: Case report and literature review

Cited by 3 publications

References 21 publications

Bidirectional endovascular treatment for axillary artery injury secondary to proximal humerus fracture: a case report

Bidirectional endovascular treatment for axillary artery injury secondary to proximal humerus fracture: a case report

Luxatio Erecta Humeri After a Ground-Level Fall in an Elderly Woman With a History of Ipsilateral Rotator Cuff Repair: A Case Report

Subclavian artery injury secondary to blunt trauma successfully managed by median sternotomy with supraclavicular extension: A case report and literature review

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