Brief report
Axillary artery injuries after proximal fracture of the humerus

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Abstract

Although axillary artery injury occurs frequently with dislocations of the shoulder and fractures of the clavicle, it is rarely associated with fractures of the proximal humerus. If the axillary artery is damaged, prompt recognition and treatment are necessary to salvage the involved extremity.

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Cited by (18)

  • Two stage treatment of a proximal humeral fracture-dislocation with vascular injury: Case report of a multidisciplinary approach

    2021, Trauma Case Reports
    Citation Excerpt :

    Regarding the treatment's chronology, an initial orthopaedic treatment of the injury (reduction and internal fixation or prosthesis implantation) in patient with unstable patterns of fractures is commonly recommended, to provide a stable substrate for the following vascular repair. This is thought to prevent secondary vascular repair failure by anatomical instability or secondary dislocation [3–9]. However the severe vascular injury with impending limb ischemia and the slight delay for his diagnosis has brought the multidisciplinary team to decide toward prioritization of the vascular surgical intervention in order to prevent limb ischemia and sequelae, and postpone by 2 weeks the orthopaedic surgical intervention in order to avoid jeopardizing the outcome of the vascular bypass, which was deemed as absolute priority in this specific scenario.

  • Reverse total shoulder arthroplasty after iatrogenic axillary artery injury: a case report

    2021, Journal of Shoulder and Elbow Surgery
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    Traumatic injuries of the axillary artery are comparatively infrequent and represent 15%-20% of all upper limb arterial injuries. Of the traumatic injuries, 94% are due to penetrating wounds,22,29 with the remaining 6% due to proximal humerus fractures4,16,18,25,28 and anterior shoulder dislocation.10,11,20,22 Patients who are older than 50 have shown a higher disposition to axillary artery injury after trauma due to accumulated atherosclerosis and decrease in arterial elasticity.21,26

  • Proximal humeral fracture-dislocation with axillary artery involvement treated with reverse shoulder arthroplasty

    2018, JSES Open Access
    Citation Excerpt :

    He had sensation at his axillary nerve distribution, and his deltoid was functioning normally. Axillary artery injuries associated with proximal humeral fractures are rare but have been reported.3,5,12-15,17 Most often these injuries occur at the time of the injury, although some cases have been reported to have happened during attempted reduction.

  • Axillary artery injury from a closed humeral neck fracture: A case report

    2016, Journal des Maladies Vasculaires
    Citation Excerpt :

    Repair of axillary artery can be either be done by direct repair or by using grafts like saphenous vein, prosthetic grafts, or basilic vein as it was in our case. Most of the literature on repair of upper limb vascular injuries is either on the use of saphenous vein graft [23] or prosthetic grafts [23] or recent advances like endovascular intervention in the form of stent grafts. The latter is increasingly used in trauma cases, is less invasive, and can be performed under local anesthesia [24].

  • Proximal humerus fractures: Hemiarthroplasty and reverse shoulder arthroplasty

    2015, Shoulder and Elbow Trauma and its Complications: The Shoulder: Volume 1
  • Proximal humerus fractures: Evaluation, management, and nonsurgical treatment

    2015, Shoulder and Elbow Trauma and its Complications: The Shoulder: Volume 1
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