Axillary Artery Injury Secondary to Inferior Shoulder Dislocation

Plaga, Brad R.; Looby, Peter; Feldhaus, Steven J.; Kreutzmann, Karl; Babb, Aaron

doi:10.1016/j.jemermed.2008.01.018

Cited by 17 publications

(19 citation statements)

References 11 publications

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“…Certain symptoms, such as severe pain, could indicate axillary artery injury (8). The deformity also should be examined to search for a displaced humeral head or a possible fracture (6).…”

Section: Discussionmentioning

confidence: 99%

“…The deformity also should be examined to search for a displaced humeral head or a possible fracture (6). Palpation may allow detection of an axillary mass indicating artery injury (8). If a fracture is suspected, X-ray studies must be done, but both pre-reduction radiographs and post-reduction radiographs are strongly recommended (9).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, a test of radial and brachial pulses should be performed, in addition to motor and sensitivity upper limb neural tests (8). Finally, once the reduction has been done, the patient needs to be immobilized (6,10).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Humerus Axial Traction with Acromial Fixation Reduction Maneuver for Anterior Shoulder Dislocation

Polo¹,

Miguel²,

López³

et al. 2011

The Journal of Emergency Medicine

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“…Certain symptoms, such as severe pain, could indicate axillary artery injury (8). The deformity also should be examined to search for a displaced humeral head or a possible fracture (6).…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Humerus Axial Traction with Acromial Fixation Reduction Maneuver for Anterior Shoulder Dislocation

Polo¹,

Miguel²,

López³

et al. 2011

The Journal of Emergency Medicine

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“…Češća je zastupljenost kod starijih pacijenata, i to u preko 75% slučajeva starijih od 60 godina. Najčešće nepravilnosti koje ukazuju na postojanje vaskularnog defekta jesu odsustvo pulsa na radijalnoj i brahijalnoj arteriji, pojava hematoma u aksili, izrazit postrepozicioni bol, kao i produbljivanje neurološkog deficita [24]. Kod našeg pacijenta nije evidentirano prisustvo vaskularnih defekata nakon repozicije.…”

Section: Diskusijaunclassified

Bilateral inferior dislocation of the shoulder joint (bilateral luxatio erecta humeri): Case report

Milosevic¹,

Božilović²,

Jović³

2014

Tim Med Glas

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Sažetak:Uvod: Donja luksacija ramenog zgloba (luxatio erecta humeri) predstavlja izuzetno retku vrstu dislokacije, sa incidencom od svega 0,5% u odnosu na sve dislokacije ramenog zgloba. Ovaj rad prikazuje pacijenta sa obostranom donjom luksacijom zgloba ramena, objašnjava kliničku sliku, dijagnozu i tretman ove retke luksacije. Prikaz slučaja: Pacijent je došao u sluţbu za prijem i zbrinjavanje urgentnih stanja nakon pada sa visine na ravno. Pri padu na pod dočekao se obema rukama u abdukovanom poloţaju, iznad glave. Pri pregledu obe nadlaktice nalaze se u poloţaju hiperabdukcije i umerene spoljašnje rotacije, flektiranih zglobova lakta i podlakticama u nepotpunoj pronaciji. Palpacijom nadlaktica obe glave humerusa bile su opipljive u aksilarnoj jami i priljubljene uz bočne zidove grudnog koša. Pomeranje prstiju šaka bilo je oteţano, do nemoguće, desnostrano izraţenije. Rendgengrafskim ispitivanjem potvrĎena je dijagnoza luxatio erecta humeri bilateralis. Izvedena je zatvorena repozicija metodom trakcije-kontratrakcije. Nakon ortopedske repozicije evidentira se slabost gornjih ekstremiteta. Neurološkom procenom konstatuje se obostrana brahijalna pleksopatija, izraţenija desnostrano. Pacijent je nakon dijagnostičko-terapijskih procedura imobilisan Desault bandaţom. Zaključak: Klinička dijagnoza luxatio erecta humeri je karakteristična i lako prepoznatljiva, uprkos retkom dijagnostikovanju. Radiografija je od krucijalnog značaja za postavljanje konačne dijagnoze ovog tipa luksacije. Neurološke komplikacije bile su evidentirane i tretirane nakon repozicije. Rehabilitaciona terapija još uvek je u toku, čime se otvara mogućnost daljeg praćenja i davanja definitivnog iskaza o dugoročnoj prognozi ove luksacije. Ključne reči:donja luksacija ramenog zgloba, luxatio erecta humeri bilateralis, rameni zglob Summary:Introduction: Lower dislocation of the shoulder joint (luxatio erecta humeri) is rare, with an incidence of 0.5% in relation to all dislocations. This paper shows a patient with bilateral lower luxation of the shoulder joint, explains the clinical presentation, diagnosis and treatment of this rare dislocation. Case report: The patient presented to the Emergency Department after the accidental fall from a height onto a flat surface. During the fall, he put both of arms in abducted position, overhead. On examination, both upper arms were hyper-abducted with moderate external rotation, elbows joints were in flexion, and forearms in incomplete pronation. Both of humeral heads were palpable in the axillary fossa and attached overside of the chest wall. Finger movements were difficult, to impossible, to the right side more prominent. Radiography examination confirmed luxatio erecta humeri bilateralis. After that, we performed a closed reduction using traction/countertraction method. After the orthopedic repositioning we recorded weakness of the upper extremities. Neurological assessment proved bilateral brachial plexopathy, prominent on the right-side. After diagnostic and therapeutic procedures, the patient wase immo...

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“…The neurological defect usually resolved between 1 day and 6 months [11]. Finally, 3.3% of cases are complicated by vascular injury, which is usually associated with a decreased radial pulse [19].…”

Section: Introductionmentioning

confidence: 99%

Inferior Dislocation of the Shoulder Complicated with Brachial Plexus Palsy: A Case Report

Kaziz¹,

Amine²,

Benzarti³

et al. 2018

J Musculoskelet Disord Treat

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Introduction: Inferior dislocation of the shoulder is a rare injury. Some specific complications may occur immediately or during follow-up. We present a rare case of erecta dislocation with a neurological injury. Case presentation: We report a 23-year-old female admitted for erecta dislocation on her right shoulder after sport accident complicated with a fracture of the greater tuberosity and axillary nerve palsy. A closed reduction had been indicated with a reduction of both fracture and dislocation. Functional treatment had been adopted. The neurapraxia had resolved spontaneously. At last outcome, the patient is satisfactory with a full range of motion on her right shoulder. Discussion: Inferior shoulder dislocation leads, usually to tears on soft tissue of the shoulder especially capsular, labral and inferior glenohumeral ligament. Immediate complications are serious such as neurological palsy and vascular problems. Indications depend on reducibility and associated injuries. Conclusion: Neurological complication especially neurapraxia is a serious injury but did not require open reduction and surgical exploration explained by the traction at the point where the axillary nerve passes through the quadrangular space.

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Axillary Artery Injury Secondary to Inferior Shoulder Dislocation

Cited by 17 publications

References 11 publications

Humerus Axial Traction with Acromial Fixation Reduction Maneuver for Anterior Shoulder Dislocation

Humerus Axial Traction with Acromial Fixation Reduction Maneuver for Anterior Shoulder Dislocation

Bilateral inferior dislocation of the shoulder joint (bilateral luxatio erecta humeri): Case report

Inferior Dislocation of the Shoulder Complicated with Brachial Plexus Palsy: A Case Report

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