Arterial Duplex and Palmar Acceleration Time in an Upper Extremity Trauma Case

Subclavian and axillary arterial injuries are uncommon and in the setting of scapulothoracic dissociation present difficulties in diagnosis, assessment, and reconstruction. We present a case of subclavian artery disruption in such a setting, in which palmar duplex identified the need for reperfusion and provided assessment of an extra-anatomic bypass. Palmar arterial duplex may provide a useful tool in select cases of upper extremity arterial trauma.