An analysis of 124 surgically managed brachial artery injuries

Abstract

patients with signs of vascular injury had injury confirmed by angiography. Using angiography as the gold standard in the 59 patients, the overall sensitivity of physical examination to detect vascular injury in stable patients with gunshot wounds to the neck was 57%. Specificity was 53%, with positive and negative predictive values of 43% and 66%.Comment: In recent years, there has been a trend towards more conservative use of catheter-based angiography in patients with possible vascular injury. This trend has been most marked in the evaluation of patients with posterior knee dislocation and in the evaluation of stable patients with penetrating trauma to an extremity. The current data, however, suggest that hemodynamically stable patients with gunshot wounds to the neck should still undergo routine imaging evaluation. In some centers, this may be duplex scanning or computed tomography angiography rather than a catheter-based angiogram. Aortic calcification and the risk of osteoporosis and fractures

Stabbing Injury of the Forearm: A Case Report

“…Penetrating trauma of upper extremities are considered as difficult injuries to manage because vascular and nerve injuries are serious and may lead to catastrophic damages impairing the patient outcome [4,5]. In common practice for the treatment of this deeper penetrating injuries routine emergent exploration was performed causing a large number of iatrogenic injuries and unnecessary extremity explorations [6].…”

Gartland Type III Supracondylar Humerus Fracture in a Child: To Intervene at the Right Time for a Vascular Injury

“…Exposure of the brachial artery in the arm should always approach with a medial incision in the line of the sulcus separating the biceps from the triceps muscle. The median nerve must be identified and separated from the artery [6]. All patients with nerve injuries detected preoperatively or during the surgery and should be referred to the plastic surgeons for further evaluation and treatment.…”

A rare case of traumatic brachial artery injury

“…3 Approximately 28% of all vascular injuries are due to injury to the brachial artery. 4 Nerve injuries are generally associated with brachial artery injuries because the median nerve courses with the brachial artery throughout its length and the radial and ulnar nerves parallel portions of the brachial artery. 5 A thorough examination followed by meticulous surgical intervention and a carefully monitored postoperative course is needed to avoid the associated complications of these challenging injuries.…”