Compound Elbow Dislocation and Brachial Artery Rupture

Abstract

A case of brachial artery rupture following compound dislocation of the elbow is reported. Arterial injury is a well‐known complication of a supracondylar fracture of the humerus, but is very rare in association with elbow dislocation. A reversed saphenous vein graft was used for treatment of the arterial injury and is the recommended method of management.

Transected brachial artery with pink pulseless perfused limb in an open grade III supracondylar fracture of humerus

“…1,5,6,7,14,18 Schoenecker et al 18 reported three patients requiring repair of the transected brachial artery with saphenous vein bypass grafting resulting in a functional viable hand. 17 They also suggested immediate exploration if arm remains pulseless after stabilization.…”

<p>Upper Limb Salvage of a Mangled Limb with Reconstruction of Brachial, Ulnar and Radial Arteries Using an Extremely Long Reversed Bifurcated Great Saphenous Vein: A Case Report with Long-Term Follow-Up</p>

“…They recommended immediate surgical exploration and rebuild the main arteries about the elbow. [17][18][19] These findings have led to an intense debate regarding the best operation to treat these rare injuries. We believe vascular reconstruction must be essential because collateral circulation around the elbow is always disrupted after severe injury.…”

Open postero-medial dislocation of the elbow in a 11-year old

“…Open dislocations are rare, 2 but associated with neurovascular injury due to the nature of the proximity of the structures and is extremely well documented as early as 1952. 1,3,4,6,[9][10][11][12][13][14][15][16][17][21][22][23][24][25][26][27][29][30][31][32][35][36][37][38][39][40][41][42][43][44] We present a case of a 11-year-old boy who sustained an open postero-medial dislocation of the elbow with no associated neurovascular injury. There have been no similar paediatric cases reported in the literature.…”