Axillary artery injury secondary to displaced proximal humeral fractures: a report of two cases

Journal of Orthopaedic Surgery
C S ModiC N A Esler

Abstract

We report 2 cases of axillary artery injury secondary to low-energy proximal humeral fractures. In case 1, early diagnosis based on signs of acute ischaemia of the arm enabled early treatment and a favourable outcome. In case 2, there were no signs of ischaemia or neurological deficit, resulting in delayed diagnosis and increased severity of the injury. The patient developed a false aneurysm and sepsis and eventually died. A high index of suspicion is necessary for diagnosing an axillary artery injury. We recommend that all patients with proximal humeral fractures with severe medial displacement of the shaft and a bone spike should routinely undergo Doppler ultrasound scanning to rule out vascular injuries and the presence of a false aneurysm.

References

Jul 11, 1998·Journal of Shoulder and Elbow Surgery·J A McLaughlinI Lustrin
Apr 6, 2004·Vascular and Endovascular Surgery·Marineh Yagubyan, Jean M Panneton
Jul 29, 2005·The Journal of Bone and Joint Surgery. British Volume·M StenningR Birch

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Citations

Jan 5, 2011·The Journal of Bone and Joint Surgery. British Volume·I R MurrayC M Robinson
Dec 20, 2012·Experimental and Therapeutic Medicine·Quan ZhangLin Chen
Apr 1, 2014·Journal of Orthopaedic Trauma·Robert ThorsnessJohn Gorczyca
May 27, 2014·BMJ Case Reports·Katie KempChris Davies
Aug 1, 2015·Revista Brasileira De Ortopedia·Alberto Naoki MiyazakiFábio Araujo Fernandes
Sep 17, 2019·Zeitschrift für Orthopädie und Unfallchirurgie·Sam RazaeianNael Hawi

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