Posttraumatic Axillary False Aneurysm after Luxatio Erecta of the Shoulder: Case Report and Literature Review

Яковлев, М. В.; Marchand, Jean-Baptiste; Poirier, Philippe; Bargoin, Kevin; Gouëffic, Yann

doi:10.1016/j.avsg.2014.01.006

Cited by 16 publications

(5 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Overall, less than 1 % of glenohumeral dislocations presenting to trauma centers involve arterial injury [18]. Iakovlev et al presented an axillary pseudoaneurysm in 2014 with a similar mechanism (ground-level fall) and pattern of injury to our patient [19]. Their patient had five previous anterior shoulder dislocations before suffering an inferior dislocation that caused axillary arterial hemorrhage.…”

Section: Discussionmentioning

confidence: 77%

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

Elkbuli

Ehrhardt

McKenney

et al. 2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 77%

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

Elkbuli

Ehrhardt

McKenney

et al. 2020

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

show abstract

“…Thus, 80% of the cases consist of patients aged older than 65 years 1 . The axillary artery is very elastic in the young population, and there are few cases in patients younger than 25 years 16 . Therefore, this case demonstrates a very unique situation.…”

Section: Discussionmentioning

confidence: 99%

Axillary Artery Transection and Brachial Plexus Injury After Open Inferior Glenohumeral Dislocation

Huri

Aksoy

Beydemir

et al. 2023

JBJS Case Connector

View full text Add to dashboard Cite

Case: A judo athlete presented with an open inferior shoulder dislocation that occurred during competition. Examination revealed a transection of the axillary artery and neuropraxia of the posterior cord. Neuropraxia was resolved within 2 weeks. The axillary artery was repaired with a femoral vein graft. He regained full strength, range of motion, and function at 8 months. Conclusion:Inferior glenohumeral dislocations are rare, and their management can be complicated by vascular and neurological injuries. We emphasize the importance of examination, diagnosis, and treatment of neurovascular pathologies to avoid catastrophic outcomes.Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/C83).

show abstract

“…Likewise, our patient had hours of perceived pulse in the ulnar and radial arteries after reduction. Rupture of the axillary artery can be contained by hematoma up to 6 months after the trauma [ 13 ], but acute ischemia in the upper extremity can present a few minutes after reduction of ISD [ 7 ]. Furthermore, Plaga et al reported a case of a patient who was initially discharged with improvement, but after 48 hours returned to the ED due to axillary injury after ISD.…”

Section: Discussionmentioning

confidence: 99%

“…The literature is sparse on axillary artery injury after ISD that requires surgical intervention. Only 2 cases have reported pseudoaneurysm due to ISD [ 7 , 8 ] and 1 case had an intimal tear of the axillary artery [ 9 ]. The literature on axillary artery injury after ISD reports varying symptoms.…”

Section: Introductionmentioning

confidence: 99%

Hemodynamic Instability After Axillary Artery Rupture Following Inferior Glenohumeral Joint Dislocation: A Case Report

Rasmussen,

Thorninger,

Wæver

2023

Am J Case Rep

View full text Add to dashboard Cite

Patient: Male, 71-year-old Final Diagnosis: Axillary artery rupture • shoulder dislocation Symptoms: Axil swelling • compromised neurovascular status • hemodynamic instability • pain Clinical Procedure: — Specialty: Orthopedics and Traumatology Objective: Rare disease Background: Inferior shoulder dislocation is a rare type of glenohumeral joint dislocation. A serious complication to shoulder dislocation is axillary artery injury, which should be taken into consideration early to avoid potentially permanent damage. Literature on artery injury following inferior shoulder dislocation is sparse. Case Report: We report the case of a 71-year-old man with a traumatic inferior shoulder dislocation due to a fall. The patient had a medical history of stroke, and thus had a daily intake of 10 mg Warfarin. Previously, he had reported 2 anterior shoulder dislocations. The shoulder reduction was conducted under general anaesthesia after reduction with intravenous morphine sedation. Six hours after reduction, the patient showed signs of hemo-dynamic instability and a CT scan with contrast showed a suspected axillary artery rupture with a large hematoma in the right axilla. The artery rupture was confirmed with an arteriogram. The patient was successfully treated with an endovascular stent. After 3 months, the patient had normal neurovascular status in the right upper extremity and was continuing rehabilitation of the shoulder. Conclusions: This case emphasizes the importance of proper recognition and awareness of artery injury after inferior shoulder dislocation. The symptoms of artery rupture after inferior shoulder dislocation can be immediate or have a late onset. The diagnostic modalities of CT scan with contrast or arteriogram should be performed with a low threshold of suspicion after reduction. With symptoms such as enlarging hematoma in the axilla, diminished radial and ulnar pulse, sudden pain from the axilla, or signs of hemodynamic instability after reduction, diagnostic modalities should be considered.

show abstract

Posttraumatic Axillary False Aneurysm after Luxatio Erecta of the Shoulder: Case Report and Literature Review

Cited by 16 publications

References 25 publications

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

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

Axillary Artery Transection and Brachial Plexus Injury After Open Inferior Glenohumeral Dislocation

Hemodynamic Instability After Axillary Artery Rupture Following Inferior Glenohumeral Joint Dislocation: A Case Report

Contact Info

Product

Resources

About