Complete Femoral Artery and Vein Avulsion from a Hyperextension Injury: A Case Report and Literature Review

Suliman, Ahmed; Ali, Mir Wasif; Kansal, Nikhil; Tian, Ying; Angle, Niren; Coimbra, Raúl

doi:10.1016/j.avsg.2008.05.005

Cited by 11 publications

(10 citation statements)

References 28 publications

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“…However, no findings suggestive of external forces such as abdominal wall hematoma or increased subcutaneous or abdominal adipose tissue concentrations were seen despite injury due to pinching or bruising. Suliman et al reported femoral artery and vein injuries resulting from forced hip hyperextension and thigh abduction [ 9 ]. They postulated that because the femoral vessels are relatively immobile owing to the branching vessels and periadventitial connective tissue, extreme hyperextension-abduction resulted in traction and external rotation of the femoral head that led to stretching, twisting, and femoral vessel injury.…”

Section: Discussionmentioning

confidence: 99%

Blunt traumatic iliac vein injury without pelvic fracture – A case report

Takahashi

Shoko

Okamoto

et al. 2021

Trauma Case Reports

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A 48-year-old man fell asleep while driving a 4-t truck, hit an 11-t truck from behind, and was injured. Contrast-enhanced computed tomography revealed retroperitoneal hematoma and extravasation of contrast medium in the left common iliac vein. No obvious pelvic fracture was observed. The patient showed no hemodynamic deterioration, so conservative management was selected. Computed tomography images obtained 2 days after injury showed that the hematoma around the left common iliac vein had shrunk and no clear vein thrombus was observed. No findings suggestive of deep vein thrombosis or pulmonary embolism were seen after the start of gait training. Iliac vein injury without pelvic fracture due to blunt trauma is particularly rare. This rare injury was attributed to sudden extension of the hip and force in the direction of the long axis of the common iliac vein. Conservative management is the recommended first choice for isolated iliac vein injury with stable hemodynamics.

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Section: Discussionmentioning

confidence: 99%

Blunt traumatic iliac vein injury without pelvic fracture – A case report

Takahashi

Shoko

Okamoto

et al. 2021

Trauma Case Reports

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“…Surgically, proximal dissection must be extended as needed to expose more of the vessel to acutely restore blood flow [ 9 ]. Intraoperatively, if revascularization must be delayed (as when dealing with fracture fixation, soft tissue injury, or vein harvesting), temporary intravascular shunting may be utilized [ 9 ]. Lower extremity trauma with concomitant orthopedic and vascular injury is associated with a high degree of limb loss.…”

Section: Discussionmentioning

confidence: 99%

“…Another case involved a heavy object that fell on the patient’s groin [ 9 ]. In four cases, the common femoral artery was completely transected [ 9 ]. The most common injury (occurring in 11 cases) was femoral artery intimal injury.…”

Section: Discussionmentioning

confidence: 99%

Combined injury of femoral artery and femoral nerve after blunt trauma to the proximal femur: A case report

AlKheraiji

AlHakbani

2020

International Journal of Surgery Case Reports

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Highlights Combined femoral arterial and nerve injury is rare in proximal femur fracture cases. As far as for our knowledge it is the first to be reported. We report a 42-year-old diagnosed with a left subtrochanteric femur fracture. Although promptly taken to surgery, leg amputation was necessary a week later. Blunt femoral injuries are associated with high morbidity and mortality rates.

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“…The injuries were caused by handlebar trauma from bicycles [2, 3, 5–7, 11, 15, 20, 21, 24, 26], motorcycles [8, 18, 25], or all-terrain vehicles [13]; by other traffic accidents [5, 9, 10, 27]; by falling from a height [5, 22]; by being hit by a tennis ball [14]; and by blowing or compression of hard objects [5, 12, 19, 23, 28]. A rare case of CFA and vein avulsion from a hip hyperextension and abduction was also reported [17]. Seatbelt injury was reportedly a cause of blunt traumatic arterial occlusion, thereby indicating that seatbelt injuries might occur due to similar mechanisms [5, 27].…”

Section: Discussionmentioning

confidence: 99%

Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report

Yoshimura

Hamamoto

2019

surg case rep

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Background Traumatic femoral artery occlusion caused by blunt impact to the groin is rare; this condition is called the “motor-scooter handlebar syndrome.” We herein report a case of traumatic femoral artery occlusion and performed a literature review on its diagnosis and treatment. Case presentation An 18-year-old man visited our hospital complaining of pain and swelling in his right groin and numbness in his right leg after a bicycle collision accident. Contrast computed tomography revealed an occlusion extending from the right external iliac artery to the common femoral artery. The right ankle–brachial index (ABI) was 0.50. We performed thrombectomy and femoral artery repair with a saphenous vein patch. The postoperative course was good, and the right ABI improved to 1.05. Conclusions Motor-scooter handlebar syndrome is a rare complication of traumatic injury. The presence of vascular injury should be considered in patients with groin or lower abdomen injuries following an impact with handlebars or similar hard objects. This injury often needs surgical treatment; therefore, prompt diagnosis is the key to successful treatment.

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Complete Femoral Artery and Vein Avulsion from a Hyperextension Injury: A Case Report and Literature Review

Cited by 11 publications

References 28 publications

Blunt traumatic iliac vein injury without pelvic fracture – A case report

Blunt traumatic iliac vein injury without pelvic fracture – A case report

Combined injury of femoral artery and femoral nerve after blunt trauma to the proximal femur: A case report

Traumatic right common femoral artery occlusion caused by blunt bicycle handlebar injury: a case report

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