Femoral artery occlusion after blunt trauma: diagnosis by multislice CT angiography

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

“…To the best of our knowledge, in the past 20 years (1999–2018), there have been 38 similar reports of injuries of the EIA, CFA, or common iliac artery caused by blunt trauma [2–28]. 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].…”

External iliac artery occlusion in a paediatric patient following handlebar trauma

“…Open arterial thromboendarterectomy with graft or patch repair is the standard of care for such cases in trauma centres [ 10 ]. Previously documented cases include patch repair or bypass using saphenous vein, bovine pericardium and synthetic material [ 1 – 3 , 5 , 6 ]. One case was successfully treated with IV heparinzation alone [ 7 ].…”

“…In our patient, delayed presentation and presence of significant collaterals meant definitive operative management could be planned as a semi-elective procedure. The role of endovascular intervention in this paediatric population has previously been documented mainly as a temporizing measure for revascularization [ 4 , 5 ]. Angiletta et al .…”

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

“…19 The most common mechanism of injury in this series was that of the motor-scooter-handlebar syndrome (MSHS). 5,6,[9][10][11][13][14][15][16][17][18][19] Originally described by Deutsch et al, 21 this syndrome is an intimal injury to the iliac/femoral artery caused by a direct blow from a motorcycle handlebar with subsequent arterial thrombosis and vascular compromise. The mechanism is that of blunt force over the iliac/femoral vessel as it is compressed on the bony pelvis.…”

“…The occurrence of an isolated femoral vessel injury in the absence of bony fractures or polytrauma is extremely rare, as signified by scattered case reports in the literature (Table I). [3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] We describe an unusual case with late presentation of a blunt hyperextension mechanism leading to complete avulsion of the femoral vessels.…”