scholarly journals The management of a complex elbow injury with transaction of the brachial artery

2017 ◽  
Vol 4 (1) ◽  
pp. 176
Author(s):  
Supreeth Nekkanti ◽  
Arunodhaya Siddartha ◽  
Purushotham Sastry ◽  
Prakash M. ◽  
Anubhav Verma
Keyword(s):  
Vascular Injury ◽  
Brachial Artery ◽  
Elbow Joint ◽  
Traffic Accident ◽  
Road Traffic ◽  
Rare Complication ◽  
Elbow Dislocation ◽  
Posterior Dislocation ◽  
Elbow Injury ◽  
Left Elbow

<p class="abstract"><span lang="EN-IN">Elbow dislocations are commonly encountered cases by orthopaedic surgeon. Vascular injury accompanying an elbow dislocation is a surgical challenge. The authors report a rare complication of complete transaction of the brachial artery following a posterior dislocation of the elbow joint. A fifty-year old male suffered a road traffic accident during which he injured his left elbow. Radiographs confirmed a posterior dislocation of the elbow joint. However the radial and ulnar pulse very not palpable. Arterial doppler confirmed injury to brachial artery. The patient was successfully treated and regained full functional use of his left upper limb. The aim of this report is to help readers understand why a vascular injury occurs following an elbow dislocations. A successful management of such injuries revolves around a prompt clinical diagnosis and early repair.</span></p>

scholarly journals Thrombosis of the brachial artery – a rare and devastating complication after a simple closed posterolateral elbow dislocation

2020 ◽  
Vol 26 (3) ◽  
pp. 167-172
Author(s):  
Povilas Masionis ◽  
Rokas Bobina ◽  
Valentinas Uvarovas ◽  
Narūnas Porvaneckas ◽  
Igoris Šatkauskas
Keyword(s):  
Surgical Treatment ◽  
Vascular Injury ◽  
Brachial Artery ◽  
Elbow Joint ◽  
Elbow Dislocation ◽  
Vascular Injuries ◽  
Before And After ◽  
Bony Lesions ◽  
High Index Of Suspicion ◽  
Open Injuries

Dislocation of the elbow joint is the second most common dislocation after the shoulder joint. Although this pathology is relatively common, concomitant vascular injuries are rare. We present a case of a patient who sustained a fall on his arm with an outstretched elbow that resulted in a closed simple posterolateral elbow dislocation and delayed thrombosis of the brachial artery followed by two revascularisation surgeries. The physician must always maintain a high index of suspicion for a concomitant vascular injury before and after closed reduction of the elbow joint and have in mind that complete ischemia without any pulsations could be absent because the elbow is surrounded by rich collateral anastomoses. Suspicion should be even stronger in the presence of bony lesions or open injuries. A team of trauma and vascular surgeons has to work hand in hand as surgical treatment with a saphenous graft or direct suture is the first method of choice with the prior requirement of a stable elbow joint.

Brachial artery transection associated with open elbow dislocation in a 12-year-old: a case report

Vascular ◽  
2011 ◽  
Vol 21 (1) ◽  
pp. 27-30 ◽  
Author(s):  
Yunus Nazli ◽  
Necmettin Colak ◽  
Ismail Uras ◽  
Mahmut Komurcu ◽  
Omer Cakir
Keyword(s):  
Case Report ◽  
Vascular Injury ◽  
Brachial Artery ◽  
Elbow Dislocation ◽  
Limb Ischemia ◽  
Treatment Delay ◽  
Rapid Evaluation ◽  
Vascular Repair ◽  
Orthopedic Injuries ◽  
High Level

Although acute elbow dislocations are common orthopedic injuries, concomitant neurovascular injury is rare. Brachial artery transection can result from open elbow dislocation and responds well to vascular repair. Rapid evaluation and a high level of suspicion are essential to facilitate immediate treatment. Delay to identify vascular injury after elbow dislocation or reduction can potentially lead to limb ischemia, and potential loss of limb. We present a case of relatively rare transection of the brachial artery, with an accompanying traumatic open elbow dislocation in a 12-year-old boy.

scholarly journals Bilateral Elbow Dislocation with Radial Head Fractures in a 33 Year Male – A Rare Case Report

2020 ◽  
pp. 100-106
Author(s):  
A. Raviraj ◽  
Vidyasagar Maalepati ◽  
K. Abhishek Sugumar ◽  
Vivek Kumar N. Savsani ◽  
Viresh B. Murgodi ◽  
...  
Keyword(s):  
Radial Head ◽  
Rare Case ◽  
Road Traffic ◽  
Radial Head Fracture ◽  
Elbow Dislocation ◽  
Radial Head Fractures ◽  
Left Elbow ◽  
Radial Neck Fracture ◽  
Neck Fracture ◽  
The Right

The authors report a rare case of bilateral elbow dislocation with associated radial head fractures in a 33 year male who presented to our hospital following a road traffic accident. The elbow dislocations were reduced in the emergency room, the left radial head fracture was treated conservatively in an above elbow slab for four weeks and the right radial head and neck fracture was treated operatively with Herbert screw fixation for the radial head fracture and buttress plating for the radial neck fracture. At six months follow-up, the patient was pain free and had functional range of flexion and extension of both elbows with pronation and supination of the right elbow up to 50° and 40° and that of the left elbow up to 60° and 45° respectively.

scholarly journals THE CRANIOFACIAL INJURY IN THE CHILDREN COMPLICATED BY ORBITAL ENCEPHALOCELE AND PROLAPSE OF THE UPPER FORNIX CONJUNCTIVA

2017 ◽  
Vol 12 (1) ◽  
pp. 43-49
Author(s):  
O. Yu Yatsenko ◽  
E. A Koroleva ◽  
O. V Karaseva
Keyword(s):  
Traffic Accident ◽  
Road Traffic ◽  
Rare Complication ◽  
Relevant Literature ◽  
Structural Features ◽  
The Road ◽  
Clinical Observations ◽  
Downward Displacement ◽  
Acute Form ◽  
Craniofacial Trauma

The cranio-orbital injuries are considered to be the most serious consequences of the combined craniofacial trauma. They are characterized by the complicated clinical picture and are responsible for the high rates of disability among the affected patients. It accounts for the necessity of recruiting the highly specialized multi-disciplinary teams of specialists to assure the comprehensive approach to the treatment of the victims. The analysis of the relevant literature publications has demonstrated that the cranio-orbital injuries account for 6% up to 64% cases of craniocerebral damages and 34% of all combined traumas. The children at the age under 7 years more frequently experience fractures of orbital bones than the adult subjects due to the peculiar structural features of the children’s skulls. Encephalocele is an extremely rare complication of the cranio-orbital injuries that can either acquire the acute form or develop gradually within a few years after the injury. Orbital hernia may be associated with the following complications for the organs of vision and their accessory apparatus: exophthalmos, diplopia, rupture of the optic nerve, oedema of the periorbital tissues, retinal detachment, enophthalmos, subconjunctival hemorrhage, complete loss of vision, and the rupture of the eyeball. Prolapse of the upper fornix conjunctiva is an equally rare complication of the injury to the orbital structures. To the best of our knowledge, the available literature publications contain only a single report of such condition. The present article describes the original clinical observations of orbital encephalocele accompanied by the prolapse of the upper fornix conjunctiva in the children who experienced a severe combined craniofacial injury. One patient (a 10 year old boy) suffered from the serious combined trauma resulting from his fall from the fifth floor. Orbital hernia developed within 5 days after the accident. The second case was that of a girl presenting with a severe combined injury inflicted to her during the road traffic accident. She developed the complication in the form of orbital encephalocele on day 13 after the accident. In both cases, the patients suffered from the well apparent paraorbital oedema, exophthalmos with the downward displacement of the eyeball, and the prolapse of the upper fornix conjunctiva.

scholarly journals Concurrent Palmar Lunate Dislocation and Posterior Elbow Dislocation: A Case Report

2011 ◽  
Vol 19 (3) ◽  
pp. 367-369 ◽  
Author(s):  
Madhavan Chikkapapanna Papanna ◽  
Nawfal Al-Hadithy ◽  
JS Sarkar
Keyword(s):  
Case Report ◽  
Carpal Tunnel ◽  
Elbow Joint ◽  
Rare Case ◽  
Kirschner Wire ◽  
Elbow Dislocation ◽  
Left Wrist ◽  
Left Hand ◽  
Volar Approach ◽  
Left Elbow

We report a rare case of concurrent palmar lunate dislocation of the left wrist combined with a posterior dislocation of the left elbow joint in a 40-year-old man. He sustained both injuries after falling onto his outstretched left hand. The elbow was reduced by the closed method. The wrist was treated with open reduction with carpal tunnel decompression and fixation with a Kirschner wire through the volar approach. Both the scapholunate and radioscaphocapitate ligaments were also repaired. At month 3, the patient had no pain in his elbow and minimal pain in his wrist on heavy lifting and had resumed his work as a porter.

scholarly journals Closed posterolateral elbow dislocation without fracture leading to complete brachial artery rupture

Folia Medica ◽  
2021 ◽  
Vol 63 (4) ◽  
pp. 595-600
Author(s):  
Athanasios N. Ververidis ◽  
Ioannis E. Kougioumtzis ◽  
Christos Chatzipapas ◽  
Christos Argyriou ◽  
Stylianos Tottas ◽  
...  
Keyword(s):  
Operative Treatment ◽  
Vascular Injury ◽  
Brachial Artery ◽  
Emergency Treatment ◽  
Elbow Dislocation ◽  
Early Assessment ◽  
Artery Injury ◽  
Radiological Evidence ◽  
Unusual Injury

Traumatic vascular injury of the brachial artery by closed posterolateral complete elbow dislocation, without fracture is an unusual injury. Based on clinical and radiological evidence, emergency treatment is necessary. We present a case of complete brachial artery rupture, with a clot resulting from a closed posterolateral elbow dislocation, without fracture. We report the early assessment and operative treatment. A brachial artery injury due to a closed elbow dislocation, without fracture is uncommon. The diagnosis poses a dilemma and the operation is a challenge. It is addressed by Orthopaedic and Vascular team.

Chest Trauma Evaluation and Outcome of Management in a Tertiary Hospital - One Year Experience

2020 ◽  
Vol 22 (2) ◽  
pp. 110-117
Author(s):  
Md Mahmudul Islam ◽  
Khondkar AK Azad ◽  
Md Aminul Islam ◽  
Rivu Raj Chakraborty
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Chest Trauma ◽  
Road Traffic ◽  
Tube Thoracostomy ◽  
Rib Fracture ◽  
Medical College Hospital ◽  
College Hospital ◽  
Medical College ◽  
The Mean

Background: Chest trauma is responsible for 50% of deaths due to trauma. This kind of death usually occurs immediately after the trauma has occurred. Various therapeutic options have been reported for management of chest injuries like clinical observation, thoracocentesis, tube thoracostomy and open thoracotomy. Objective: To observe the pattern and outcome of management in chest trauma Methods: This is an observational study carried out in Casualty department of Chittagong Medical College Hospital (CMCH), Chittagong, between April 2015 to March 2016. Our study was included all patients, both sexes, following chest injury at Casualty units of Chittagong Medical College Hospital. All the data were recorded through the preformed data collection sheet and analyzed. Result: The mean age was found 37.7±18.1 years with range from 12 to 80 years. Male female ratio was 11.8:1. The mean time elapsed after trauma was found 6.1±3.1 hours with range from 1 to 72 hours. Almost one third (35.7%) patients was affecting road traffic accident followed by 42(27.3%) assault, 35(22.7%) stab injury, 15(9.7%) fall and 7(4.5%) gun shot . More than three fourth (80.5%) patients were managed by tube thoracostomy followed by 28(18.2%) observation and 2(1.3%) ventilatory support. No thoracotomy was done in emergency department. 42(27.2%) patients was found open pneumothorax followed by 41(26.6%) rib fracture, 31(20.1%) haemopneumothorax, 14(9%) simple pneumothorax, 12(7.8%) haemothorax, 6(3.9%) chest wall injury, 5(3.2%) tension pneumothorax, and 3(1.9%) flail chest. About the side of tube 60(39.0%) patients were given tube on left side followed by 57(37.0%) patients on right side, 9(5.8%) patients on both (left & right) side and 28(18.2%) patients needed no tube. Regarding the complications, 13(30%) patients had persistent haemothorax followed by 12(29%)tubes were placed outside triangle of safety, 6(13.9%) tubes were kinked, 6(13.9%) patients developed port side infection, 2(4.5%)tube was placed too shallow, 2(4.5%) patients developed empyema thoracis and 2(4.5%) patients developed bronchopleural fistula. The mean ICT removal information was found 8.8±3.6 days with range from 4 to 18 days. Reinsertion of ICT was done in 6(4.7%) patients. More than two third (68.2%) patients were recovered well, 43(27.9%) patients developed complication and 6(3.9%)patients died. More than two third (66.9%) patients had length of hospital stay 11-20 days. Conclusion: Most of the patients were in 3rd decade and male predominant. Road traffic accident and tube thoracostomy were more common. Open pneumothorax, rib fracture and haemopneumothorax were commonest injuries. Nearly one third of the patients had developed complications. Re-insertion of ICT needed almost five percent and death almost four percent. Journal of Surgical Sciences (2018) Vol. 22 (2) : 110-117

Epidemiological Study of Road Traffic Accident Cases Attending the Civil Hospital, Ahmedabad

2012 ◽  
Vol 3 (8) ◽  
pp. 282-283
Author(s):  
Dr. Chhaya Lakhani ◽  
◽  
Dr. Rachana Kapadia ◽  
Dr. Dhara Prajapati ◽  
Dr. A.Bhagyalaxmi Dr. A.Bhagyalaxmi
Keyword(s):  
Epidemiological Study ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Civil Hospital
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