Proximal Humeral Fracture Complicated by Axillary Artery Lesion – A Case Review
Authors:
K. Edelmann; J. Dvořák *; L. Kopp; P. Obruba
Authors‘ workplace:
II. chirurgické oddělení – úrazové centrum Masarykovy nemocnice Ústí nad Labem
; I. chirurgická klinika IPVZ Masarykovy nemocnice Ústí nad Labem
*
Published in:
Rozhl. Chir., 2010, roč. 89, č. 9, s. 573-576.
Category:
Monothematic special - Original
Overview
Although proximal humeral fractures are common diagnosis in emergency, cases of axillary artery injuries are rare. Authors present a patient, who underwent high energy trauma during a traffic accident like a pedestrian. Comminuted proximal humeral fracture was complicated with an occlusion of the third part of the axillary artery. There was necessary an urgent surgery, ostesynthesis with locking plate and reconstruction of the axillary artery by interposition of expanded polytetrafluoroethylene (ePTFE) graft. Postoperative course was uncomplicated, patient had no symptoms of ischaemia of extremity or claudication and started physiotherapy. In review of the literature authors present possible reasons of arterial injuries, possibilities of treatments to minimize risk of amputation. Axillary artery injury from proximal humeral fracture is rare, but every surgeon must be aware of this entity in order to avoid fatal complications.
Key words:
proximal fracture of humerus – axillary artery injury
Sources
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Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2010 Issue 9
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