Document Detail

Axillary artery injury secondary to inferior shoulder dislocation.
MedLine Citation:
PMID:  18815001     Owner:  NLM     Status:  In-Process    
BACKGROUND: Dislocation injuries of the glenohumeral joint are common in the general public and generally are corrected without complication. One serious complication with shoulder dislocations, or the subsequent reduction, is a lesion to the axillary artery. This specific complication is most frequently seen in the elderly population, where vascular structures have become less flexible. Also, these injuries are most common in association with anterior dislocations of the shoulder.
OBJECTIVES: To bring awareness to the possibility of axillary artery injury with inferior dislocation of the shoulder, the treatment options, and a review.
CASE REPORT: We report a 15-year-old male athlete who inferiorly dislocated his shoulder during wrestling practice. The injury was reduced at the scene with manual traction and the patient was transferred to our clinic for evaluation. The patient was determined to have a pseudoaneurysm of the axillary artery, and the history and treatment of the illness are presented.
CONCLUSION: Axillary artery injuries secondary to shoulder dislocations are rare, especially in the young athlete, and proper recognition and treatment offer patients a full recovery.
Brad R Plaga; Peter Looby; Steven J Feldhaus; Karl Kreutzmann; Aaron Babb
Publication Detail:
Type:  Journal Article     Date:  2008-09-23
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  39     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-25     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  United States    
Other Details:
Languages:  eng     Pagination:  599-601     Citation Subset:  IM    
Copyright Information:
Copyright © 2010. Published by Elsevier Inc.
Orthopedic Institute, Sioux Falls, South Dakota 57117, USA.
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