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.

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 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 Operative management and outcomes of brachial artery revascularization following delayed presentation of traumatic brachial artery injury: surgical persistence rewarded

2021 ◽  
Vol 8 (6) ◽  
pp. 1793
Author(s):  
Madhur Kumar ◽  
Subrata Pramanik ◽  
Anubhav Gupta
Keyword(s):  
Functional Outcome ◽  
Vascular Injury ◽  
Brachial Artery ◽  
Primary Repair ◽  
Tertiary Care ◽  
Lower Limbs ◽  
Neurological Injury ◽  
Delayed Presentation ◽  
Artery Injury ◽  
End To End

Background: Dearth of expertise to manage vascular trauma spiraled with delay in diagnosis and referral to tertiary care centers continue to plague a developing nation like India. The brachial artery is the commonest artery to be injured in extremity following trauma. Although the patients present late, revascularization to salvage the limb and to maintain its function is advocated. This retrospective study was done to evaluate the management and outcomes of brachial artery revascularization in patients with delayed presentation of traumatic brachial artery injury.Methods: Twenty-six patients of traumatic brachial artery injury who met the inclusion criteria during 1-year study period (August 2019 to July 2020) were included. Patients with iatrogenic vascular injury, severe vascular injury associated with massive orthopaedic neuromuscular injury (i.e., crush injury), mottled upper limb and injury to neck, chest, abdomen, lower limbs or any pseudoaneurysm were excluded. Data were analysed.Results: Amongst 26 patients studied, 24 (92.30%) patients had complete transection of the artery. Of these, 19 (79.16%) had primary repair in the form of end-to-end anastomosis and 7 (29.16%) underwent reverse interposition saphenous vein grafting. Two patients with partial laceration of brachial artery underwent primary (lateral) repair. Associated fracture of humerus was managed with internal fixation following revascularization. Four cases underwent end to end repair of median nerve. Majority, 22 (84.61%) had good functional outcome and 4 (15.38%) had satisfactory functional results. Limb salvage rates was 100%.Conclusions: Revascularization beyond warm ischemia time is still desirable to prevent limb loss. Traumatic neurological injury affects the functional outcome. 

scholarly journals Brachial artery injury due to closed posterior elbow dislocation: case report

2016 ◽  
Vol 51 (2) ◽  
pp. 239-243
Author(s):  
Alberto Naoki Miyazaki ◽  
Marcelo Fregoneze ◽  
Pedro Doneux Santos ◽  
Guilherme do Val Sella ◽  
Caio Santos Checchia ◽  
...  
Keyword(s):  
Case Report ◽  
Brachial Artery ◽  
Elbow Dislocation ◽  
Artery Injury

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.

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