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Arterial Injury in Uncomplicated Upper Extremity Dislocations

Arterial Injury in Uncomplicated Upper Extremity Dislocations Arterial Injury in Uncomplicated Upper Extremity Dislocations Steven R. Sparks, MD, Jacob DeLaRosa, MD, John J. Bergan, MD, David B. Hoyt, MD, and Erik L. Owens, MD, San Diego, California The purpose of this study is to analyze causes and consequences of arterial injury complicating simple dislocations of the upper extremity. This is a multicenter, 5-year, retrospective analysis of vascular injury in patients sustaining shoulder or elbow dislocations without associated fractures. Foci of the study were mechanisms of injury, preoperative imaging, incidence of closed reduc- tions, types of arterial injury, methods of surgical repair, and ultimate outcome. Arterial injury in this patient cohort occurred in 0.74% of patients. Axillary artery injury occurred in 0.97% and brachial in 0.47%. Both elbow and shoulder dislocations may cause severe arterial damage and strenuously test surgical expertise to achieve successful repair. (Ann Vasc Surg 2000;14:110- 113.) DOI: 10.1007/s100169910020 fronted with knee dislocations. This usually leads to INTRODUCTION prompt arteriography that should include biplanar Blunt extremity injuries present challenging prob- views. Some have questioned the need for ar- lems to vascular surgeons. The first of these is es- teriography to establish such a diagnosis and have tablishing a diagnosis in a timely fashion to http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Annals of Vascular Surgery Springer Journals

Arterial Injury in Uncomplicated Upper Extremity Dislocations

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References (10)

Publisher
Springer Journals
Copyright
Copyright © 2000 by Annals of Vascular Surgery
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
0890-5096
eISSN
1615-5947
DOI
10.1007/s100169910020
Publisher site
See Article on Publisher Site

Abstract

Arterial Injury in Uncomplicated Upper Extremity Dislocations Steven R. Sparks, MD, Jacob DeLaRosa, MD, John J. Bergan, MD, David B. Hoyt, MD, and Erik L. Owens, MD, San Diego, California The purpose of this study is to analyze causes and consequences of arterial injury complicating simple dislocations of the upper extremity. This is a multicenter, 5-year, retrospective analysis of vascular injury in patients sustaining shoulder or elbow dislocations without associated fractures. Foci of the study were mechanisms of injury, preoperative imaging, incidence of closed reduc- tions, types of arterial injury, methods of surgical repair, and ultimate outcome. Arterial injury in this patient cohort occurred in 0.74% of patients. Axillary artery injury occurred in 0.97% and brachial in 0.47%. Both elbow and shoulder dislocations may cause severe arterial damage and strenuously test surgical expertise to achieve successful repair. (Ann Vasc Surg 2000;14:110- 113.) DOI: 10.1007/s100169910020 fronted with knee dislocations. This usually leads to INTRODUCTION prompt arteriography that should include biplanar Blunt extremity injuries present challenging prob- views. Some have questioned the need for ar- lems to vascular surgeons. The first of these is es- teriography to establish such a diagnosis and have tablishing a diagnosis in a timely fashion to

Journal

Annals of Vascular Surgery – Springer Journals

Published: Feb 17, 2014

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