Axillary Artery Dissection After Scapular Fracture

Cvjetko, Ivan; Silva, Mario; Hlevnjak, Dubravko; Bakota, Bore; Dovzak, Ivana

doi:10.1016/j.avsg.2011.02.014

Cited by 4 publications

(1 citation statement)

References 8 publications

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“…Among the 22 reported cases with neurological damages to the upper limbs, 13 had neurological plexus injuries. Other shoulder injuries like dislocation 48 or scapular fracture 49 associated with arterial injury were described in the literature.…”

Section: Discussionmentioning

confidence: 99%

Axillary Artery Injuries Associated With Proximal Humerus Fractures: A Literature Review and a Proposal of a Novel Multidisciplinary Surgical Approach

Ripoll,

Fairag,

Bonomo

et al. 2023

Vasc Endovascular Surg

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Introduction Proximal humerus fractures (PHF) are common injuries that can lead to axillary artery injury, which carries the risk of not being identified during initial assessment. The aim of this study was to describe the management of suspected axillary artery injury associated with PHF according to our experience and to describe a new multidisciplinary surgical approach. Methods This was a single-center retrospective study. A database was created for patients admitted for PHF to the emergency department of the Hospital of Cannes between October 2017 and October 2019. Patients admitted with PHF associated with suspected ipsilateral upper limb ischemia, and/or massive diaphysis displacement, and/or upper limb ipsilateral neurological deficits were included in this study. Results In total, 301 patients diagnosed with PHF were admitted within these periods. Among these patients, 12 presented with suspected axillary artery lesions, of whom, 6 were included in the present study and treated according to our new approach. A description of these 6 cases, along with an extensive literature review is presented. Conclusion Based on our experience, the endovascular approach proposed for the management of axillary artery injury associated with proximal humerus fractures is effective, feasible and reproducible.

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Section: Discussionmentioning

confidence: 99%