scholarly journals Displaced Fracture of the Proximal Humerus Causing Axillary Artery Injury and Brachial Plexus Palsy

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Younus A ◽  
Kelly A ◽  
Lekgwara P
Keyword(s):  
Brachial Plexus ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Brachial Plexus Palsy ◽  
Artery Injury ◽  
Displaced Fracture

scholarly journals Axillary artery injury and brachial plexus palsy as a complication of proximal humerus fractures

2017 ◽  
Vol 14 (3) ◽  
pp. 340-341 ◽  
Author(s):  
G. Bucci ◽  
G. Lucar-López ◽  
J. Sanchez-Gonzalez ◽  
F. Malagelada ◽  
J. Palencia Lopez ◽  
...  
Keyword(s):  
Brachial Plexus ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Proximal Humerus Fractures ◽  
Brachial Plexus Palsy ◽  
Artery Injury ◽  
Humerus Fractures

Axillary Artery Dissection and Thrombosis after Closed Proximal Humerus Fracture – a Rare Interdisciplinary Challenge

2019 ◽  
Vol 158 (04) ◽  
pp. 406-413
Author(s):  
Sam Razaeian ◽  
Saad Rustum ◽  
Lena Sonnow ◽  
Rupert Meller ◽  
Christian Krettek ◽  
...  
Keyword(s):  
Early Diagnosis ◽  
Brachial Plexus ◽  
Functional Recovery ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Low Energy ◽  
Artery Dissection ◽  
Brachial Plexopathy ◽  
Rare Injury

Abstract Background Proximal humerus fractures account for 4 – 6% of all fractures and are a common result of low-energy trauma in the elderly. Concomitant neurovascular injury of the neighboring axillary artery and brachial plexus is a rarity, but has enormous impact on therapy, rehabilitation and prognosis. Diagnosis of axillary artery injury may be delayed due to its varied clinical presentation and lead to prolonged ischemia, distal necrosis and even loss of limb. Thorough clinical examination, high suspicion and identification of known predictors can be helpful in early diagnosis of this rare injury. Patients/Material and Methods We report a case of an intoxicated 76-year-old male who sustained a dislocated proximal humerus fracture, resulting in concomitant brachial plexopathy and axillary artery dissection with secondary thrombosis after a low-energy fall from standing height. Due to mistriage as a neurological emergency the somnolent patient presented under delayed circumstances at our traumatological emergency department, demonstrating pain, paleness, paralysis, paresthesia and non-palpable wrist pulses. Diagnosis was made through high suspicion after clinical examination with the aid of CT angiography. Emergent open reduction and anatomic shoulder hemiarthroplasty was performed followed by axillobrachial interposition grafting using a reversed saphenous vein graft and brachial plexus exploration. Results The surgical treatments were uncomplicated. The affected limb remains viable at 6-week follow-up; however, active shoulder function is limited due to residual brachial plexopathy. Conclusion Despite early diagnosis and management of this rare injury, the prognosis for functional recovery is guarded and largely dictated by the extent of neurological injury in the setting of concomitant brachial plexopathy. Brachial plexopathy is highly associated with axillary artery injury and its impact often underestimated in comparison due to its non-limb-threatening nature in the acute setting. Future studies should focus on the long-term prognosis for functional recovery in patients with this rare injury pattern.

axillary artery injury following a closed fracture of the proximal humerus

2005 ◽  
Vol 5 (3-4) ◽  
pp. 147-149 ◽  
Author(s):  
f. lam ◽  
i. kurta ◽  
s. hussain
Keyword(s):  
Literature Review ◽  
Rare Case ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Diagnosis And Treatment ◽  
Humerus Fracture ◽  
Closed Fracture ◽  
Artery Injury ◽  
Prompt Diagnosis

a rare case of axillary artery injury following a displaced surgical neck of humerus fracture is presented. the epidemiology and pathoanatomy of the condition are described. a literature review is presented emphasising the need for prompt diagnosis and treatment.

scholarly journals Bidirectional endovascular treatment for axillary artery injury secondary to proximal humerus fracture: a case report

2021 ◽  
Author(s):  
Daisuke Kanda ◽  
Itsumi Imagama ◽  
Yutaka Imoto ◽  
Mitsuru Ohishi
Keyword(s):  
Surgical Treatment ◽  
Endovascular Treatment ◽  
Brachial Artery ◽  
Proximal Humerus Fracture ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Humerus Fracture ◽  
Artery Injury ◽  
The Right ◽  
Distal Flow

Abstract Background Axillary artery injury secondary to proximal humerus fracture is a rare but serious complication. The management of this injury has traditionally involved surgical treatment. Case summary A 66-year-old female with gait disturbance slipped and fell off her wheelchair at home. She presented to a local hospital with right shoulder pain and was subsequently urgently transferred to our hospital by helicopter because of suspicion of axillary artery injury. Computed tomography angiography revealed disruption of the right axillary artery. We decided to perform endovascular treatment instead of surgical treatment for axillary artery injury. However, since endovascular treatment via the right femoral artery was impossible, we performed bidirectional (right femoral and right brachial artery approaches) endovascular treatment. We expanded the occluded lesion using a 3.5 mm × 40 mm sized balloon and placed a 5.0 mm × 50 mm stent graft (Gore® Viabahn®) across the lesion. The final subclavian injection confirmed that distal flow to the brachial artery was preserved and that there was no leakage of contrast medium from the axillary artery. Discussion We performed endovascular treatment for axillary artery injury secondary to proximal humerus fracture. Although surgical repair is typically performed for this kind of injury, our experience suggests that endovascular treatment might be an option in patients with axillary artery injury.

Proximal Humerus Fractures With Associated Axillary Artery Injury

2014 ◽  
Vol 28 (11) ◽  
pp. 659-663 ◽  
Author(s):  
Robert Thorsness ◽  
Christopher English ◽  
Jonathan Gross ◽  
Wakenda Tyler ◽  
Ilya Voloshin ◽  
...  
Keyword(s):  
Proximal Humerus ◽  
Axillary Artery ◽  
Proximal Humerus Fractures ◽  
Artery Injury ◽  
Humerus Fractures

scholarly journals Axillary Artery Injury Caused by Fracture of Humerus Neck and Its Repair Using Basilic Vein Graft

2014 ◽  
Vol 2014 ◽  
pp. 1-3
Author(s):  
Vikas Deep Goyal ◽  
Vipin Sharma ◽  
Sandeep Kalia ◽  
Manik Sehgal
Keyword(s):  
Upper Limb ◽  
Vein Graft ◽  
Proximal Humerus ◽  
Surgical Intervention ◽  
Axillary Artery ◽  
Basilic Vein ◽  
Computed Tomographic ◽  
Artery Injury ◽  
Humerus Fractures ◽  
Left Axillary Artery

Proximal humerus fractures are rarely associated with axillary artery injury. We present a case of a 59-year-old female who had fracture neck humerus along with absent pulsations in the left upper limb after blunt trauma. Computed tomographic angiogram revealed complete occlusion of the left axillary artery. Urgent surgical intervention was done in the form of fixation of fracture followed by exploration and repair of axillary artery. Axillary artery was contused and totally occluded by fractured edge of humerus. Repair of the axillary artery was done using basilic vein graft harvested through the same incision. Postprocedure pulsations were present in the upper limb.

Axillary artery injury associated with proximal humerus fractures

VASA ◽  
2008 ◽  
Vol 37 (3) ◽  
pp. 274-277 ◽  
Author(s):  
Mouzopoulos ◽  
Lasanianos ◽  
Mouzopoulos ◽  
Tzurbakis ◽  
Georgilas
Keyword(s):  
Blunt Trauma ◽  
Proximal Humerus ◽  
Axillary Artery ◽  
Penetrating Trauma ◽  
Shoulder Girdle ◽  
Shoulder Injury ◽  
Industrial Accidents ◽  
Artery Injury ◽  
Humerus Fractures ◽  
Low Incidence

Penetrating trauma is the primary cause of upper extremity vascular injury almost in 95% of cases. Blunt trauma due to traffic or industrial accidents and falls account for the remaining 5% to 10%. However axillary artery injury from blunt trauma to the shoulder is extremely rare. The location of the axillary artery, surrounded by the bones and muscles of the shoulder girdle, explains the low incidence of trauma suffered by this arterial segment. But its anatomical proximity to the humeral head makes it quite vulnerable to blunt trauma during shoulder injury. Herein we report two cases of axillary artery injury after proximal humerus fracture, discussing their diagnosis and management.

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