Upper Extremity Ischemia in Athletes: Embolism from the Injured Posterior Circumflex Humeral Artery

Ikezawa, Teruo; Iwatsuka, Yasushi; Asano, Masayuki; Kimura, Atsushi; Sasamoto, Akitoshi; Ono, Yoshio

doi:10.1007/s005470000019

Cited by 3 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Management of a PCHA aneurysm is considered to be a challenge, because it mostly occurs in young professional athletes or workers. PCHA aneurysm is also underdiagnosed, 6 as symptoms are regularly attributed to acute or chronic musculoskeletal injuries 5, 7. It may result in a career threatening condition, as it can lower performance in healthy and young athletes 3 …”

Section: Discussionmentioning

confidence: 99%

Posterior Circumflex Humeral Artery Aneurysm: Case Report and Systematic Literature Review

Kuntz

Lejay

Meteyer³

et al. 2019

EJVES Short Reports

View full text Add to dashboard Cite

Posterior circumflex humeral artery (PCHA) aneurysm is a rare condition. It mostly affects young professional sports player and might be career threatening. This is the report of the case of a 28 year old volleyball player presenting with symptoms of right digital ischaemia caused by a PCHA aneurysm. Surgical treatment by resection of the aneurysm without revascularisation was performed. The post-operative course was uneventful and the patient returned to professional competition one month after surgery. A literature review is also presented in an attempt to provide recommendations for PCHA aneurysm diagnosis and management.

show abstract

Section: Discussionmentioning

confidence: 99%

Posterior Circumflex Humeral Artery Aneurysm: Case Report and Systematic Literature Review

Kuntz

Lejay

Meteyer³

et al. 2019

EJVES Short Reports

View full text Add to dashboard Cite

show abstract

“…Several studies reported about PCHA pathology with serious ischaemic complications among elite volleyball players [ 1 , 13 – 24 ]. Also, multiple cases have been reported in elite baseball pitchers [ 13 , 25 – 31 ], tennis players [ 17 , 18 , 32 ], swimmers[ 33 ], kayakers[ 34 ], yoga practitioners [ 35 ], trapeze flying artists [ 20 ], American football players [ 32 ] and even one in regular work, namely a mechanic [ 33 ]. No PCHA pathology was detected in some 350 examined PCHAs of healthy subjects [ 3 , 36 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

Ultrasound assessment of the posterior circumflex humeral artery in elite volleyball players: Aneurysm prevalence, anatomy, branching pattern and vessel characteristics

et al. 2016

View full text Add to dashboard Cite

ObjectivesTo determine the prevalence of posterior circumflex humeral artery (PCHA) aneurysms and vessel characteristics of the PCHA and deep brachial artery (DBA) in elite volleyball players.MethodsTwo-hundred and eighty players underwent standardized ultrasound assessment of the dominant arm by a vascular technologist. Assessment included determination of PCHA aneurysms (defined as segmental vessel dilatation ≥150 %), PCHA and DBA anatomy, branching pattern, vessel course and diameter.ResultsThe PCHA and DBA were identified in 100 % and 93 % (260/280) of cases, respectively. The prevalence of PCHA aneurysms was 4.6 % (13/280). All aneurysms were detected in proximal PCHA originating from the axillary artery (AA). The PCHA originated from the AA in 81 % of cases (228/280), and showed a curved course dorsally towards the humeral head in 93 % (211/228). The DBA originated from the AA in 73 % of cases (190/260), and showed a straight course parallel to the AA in 93 % (177/190).ConclusionsPCHA aneurysm prevalence in elite volleyball players is high and associated with a specific branching type: a PCHA that originates from the axillary artery. Radiologists should have a high index of suspicion for this vascular overuse injury. For the first time vessel characteristics and reference values are described to facilitate ultrasound assessment.Key Points• Prevalence of PCHA aneurysms is 4.6 % among elite volleyball players. • All aneurysms are in proximal PCHA that originates directly from AA. • Vessel characteristics and reference values are described to facilitate US assessment. • Mean PCHA and DBA diameters can be used as reference values. • Radiologists need a high index of suspicion for this vascular overuse injury.

show abstract

“…1, 2 After its origin the artery runs through the quadrilateral space (QS), which is bounded by the subscapularis, teres minor and teres major muscles, the medial cortex of the surgical neck of the humerus, and the long head of the triceps muscle. [3][4][5][6] The PCHA winds around the surgical neck of the humerus, where it takes care of a major part of the blood supply of the glenohumeral joint and deltoid, teres major, minor muscles and the long head of the triceps muscle. 1,5,6 Vascular abnormalities of the PCHA have mainly been described in overhead athletes (e.g.…”

Section: Introductionmentioning

confidence: 99%

“…[3][4][5][6] The PCHA winds around the surgical neck of the humerus, where it takes care of a major part of the blood supply of the glenohumeral joint and deltoid, teres major, minor muscles and the long head of the triceps muscle. 1,5,6 Vascular abnormalities of the PCHA have mainly been described in overhead athletes (e.g. baseball and volleyball players).…”

Section: Introductionmentioning

confidence: 99%

“…Compression of a thrombus located in the PCHA by the humeral head squeezes small embolisms retrograde into the axillary artery leading to occlusion of the arterial circulation in the arm, hand and fingers. 2, 3,5,8,11 Symptoms of digital ischemia, which are closely related to PCHA pathology SPORTDiscus. The search strategy was created in line with the PRISMA statement 23 with the assistance of an experienced library database specialist.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

A systematic review on posterior circumflex humeral artery pathology: sports and professions at risk and associated risk factors

Kraan

Beers

Pol

et al. 2019

J Sports Med Phys Fitness

View full text Add to dashboard Cite

This provisional PDF corresponds to the article as it appeared upon acceptance.A copyedited and fully formatted version will be made available soon. The final version may contain major or minor changes. Subscription: Information about subscribing to MinervaMedica journals is online at: http://www.minervamedica.it/en/how-to-order-journals.php Reprints and permissions: For information about reprints and permissions send an email to: journals.dept@minervamedica.it -journals2.dept@minervamedica.it -ABSTRACT INTRODUCTION: Posterior circumflex humeral artery (PCHA) aneurysm formation and thrombosis as overuse injury in the dominant shoulder can result in ischemia of the forearm, hand and digits due to arterial embolisms. Increased awareness among physicians is necessary as PCHA pathology (PCHAP) might be underdiagnosed. Knowledge of sports and professions at risk and risk-factors for obtaining PCHAP is essential for the development of future preventive measures. This study aims to identify sports and professions at risk as well as risk factors for PCHAP. EVIDENCE ACQUISITION: The databases of MEDLINE, EMBASE, BIOSIS, CINAHL and SPORTDiscus were systematically searched. EVIDENCE SYNTHESIS: Twenty-seven papers fulfilled the inclusion criteria and described 67 patients with PCHAP involved in seven sports and three professions. The sports (number of cases) were volleyball (41), baseball (13), swimming (1), tennis (3), American football (2), canoeing (1) and yoga (1) (2 unknown). The professions included a baseball coach, a circus trapeze artist and a mechanic. Apart from expert opinions, no studies have identified risk COPYRIGHT© EDIZIONI MINERVA MEDICA This document is

show abstract

Upper Extremity Ischemia in Athletes: Embolism from the Injured Posterior Circumflex Humeral Artery

Cited by 3 publications

References 0 publications

Posterior Circumflex Humeral Artery Aneurysm: Case Report and Systematic Literature Review

Posterior Circumflex Humeral Artery Aneurysm: Case Report and Systematic Literature Review

Ultrasound assessment of the posterior circumflex humeral artery in elite volleyball players: Aneurysm prevalence, anatomy, branching pattern and vessel characteristics

A systematic review on posterior circumflex humeral artery pathology: sports and professions at risk and associated risk factors

Contact Info

Product

Resources

About