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Combined brachial plexus and vascular injury in the absence of bony injury
  1. A F MacNamara,
  2. A Ismail
  1. Accident and Emergency Department, Birmingham Heartlands Hospital, Bordesley Green East, Birmingham B9 5SS
  1. Correspondence to: Mr MacNamara, Consultant in Accident and Emergency Medicine (amacnamara{at}


Neurovascular injury to the axillary vessels is well described in association with fracture or dislocation involving the shoulder joint or the humerus. Such injury however can also occur in the absence of bony injury. A case is presented of damage to the axillary artery and brachial plexus following blunt trauma. This case demonstrates that complex neurovascular damage can occur in the absence of fracture or dislocation. The importance of a thorough clinical assessment is highlighted and priorities with regard to diagnosis and management are discussed.

  • vascular injury
  • axilla
  • brachial plexus

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  • Funding: none.

  • Conflicts of interest: none.