Axillary artery lesion secondary to fracturing of the proximal third of the humerus: case report

Lesions of the axillary artery are rare in patients with fracturing of the proximal third of the humerus and may have greatly varying clinical manifestations. They are responsible for 15% and 20% of upper-limb artery injuries and the commonest mechanism is a fall to the ground, which accounts for 79% of such injuries. In some cases, the signs only appear later on. It is important to bear this association in mind, so as to make an early diagnosis and avoid serious complications. We report on a case of traumatic injury of the axillary artery secondary to fracturing of the proximal third of the humerus in an 84-year-old patient, with late evolution of clinical signs of ischemia in the limb affected. The aim here was to discuss the diagnostic difficulties and treatment.

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Main Authors: Miyazaki,Alberto Naoki, Fregoneze,Marcelo, Santos,Pedro Doneux dos, Silva,Luciana Andrade da, Sella,Guilherme do Val, Checchia,Sergio Luiz, Santos,Sílvia Helena Cavadinha Cândido dos, Fernandes,Fábio Araujo
Format: Digital revista
Language:English
Published: Sociedade Brasileira de Ortopedia e Traumatologia 2015
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100110
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spelling oai:scielo:S0102-361620150001001102015-09-10Axillary artery lesion secondary to fracturing of the proximal third of the humerus: case reportMiyazaki,Alberto NaokiFregoneze,MarceloSantos,Pedro Doneux dosSilva,Luciana Andrade daSella,Guilherme do ValChecchia,Sergio LuizSantos,Sílvia Helena Cavadinha Cândido dosFernandes,Fábio Araujo Axillary artery Humeral fractures Shoulder fractures Lesions of the axillary artery are rare in patients with fracturing of the proximal third of the humerus and may have greatly varying clinical manifestations. They are responsible for 15% and 20% of upper-limb artery injuries and the commonest mechanism is a fall to the ground, which accounts for 79% of such injuries. In some cases, the signs only appear later on. It is important to bear this association in mind, so as to make an early diagnosis and avoid serious complications. We report on a case of traumatic injury of the axillary artery secondary to fracturing of the proximal third of the humerus in an 84-year-old patient, with late evolution of clinical signs of ischemia in the limb affected. The aim here was to discuss the diagnostic difficulties and treatment.info:eu-repo/semantics/openAccessSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia v.50 n.1 20152015-02-01info:eu-repo/semantics/reporttext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100110en10.1016/j.rboe.2015.01.002
institution SCIELO
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country Brasil
countrycode BR
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libraryname SciELO
language English
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author Miyazaki,Alberto Naoki
Fregoneze,Marcelo
Santos,Pedro Doneux dos
Silva,Luciana Andrade da
Sella,Guilherme do Val
Checchia,Sergio Luiz
Santos,Sílvia Helena Cavadinha Cândido dos
Fernandes,Fábio Araujo
spellingShingle Miyazaki,Alberto Naoki
Fregoneze,Marcelo
Santos,Pedro Doneux dos
Silva,Luciana Andrade da
Sella,Guilherme do Val
Checchia,Sergio Luiz
Santos,Sílvia Helena Cavadinha Cândido dos
Fernandes,Fábio Araujo
Axillary artery lesion secondary to fracturing of the proximal third of the humerus: case report
author_facet Miyazaki,Alberto Naoki
Fregoneze,Marcelo
Santos,Pedro Doneux dos
Silva,Luciana Andrade da
Sella,Guilherme do Val
Checchia,Sergio Luiz
Santos,Sílvia Helena Cavadinha Cândido dos
Fernandes,Fábio Araujo
author_sort Miyazaki,Alberto Naoki
title Axillary artery lesion secondary to fracturing of the proximal third of the humerus: case report
title_short Axillary artery lesion secondary to fracturing of the proximal third of the humerus: case report
title_full Axillary artery lesion secondary to fracturing of the proximal third of the humerus: case report
title_fullStr Axillary artery lesion secondary to fracturing of the proximal third of the humerus: case report
title_full_unstemmed Axillary artery lesion secondary to fracturing of the proximal third of the humerus: case report
title_sort axillary artery lesion secondary to fracturing of the proximal third of the humerus: case report
description Lesions of the axillary artery are rare in patients with fracturing of the proximal third of the humerus and may have greatly varying clinical manifestations. They are responsible for 15% and 20% of upper-limb artery injuries and the commonest mechanism is a fall to the ground, which accounts for 79% of such injuries. In some cases, the signs only appear later on. It is important to bear this association in mind, so as to make an early diagnosis and avoid serious complications. We report on a case of traumatic injury of the axillary artery secondary to fracturing of the proximal third of the humerus in an 84-year-old patient, with late evolution of clinical signs of ischemia in the limb affected. The aim here was to discuss the diagnostic difficulties and treatment.
publisher Sociedade Brasileira de Ortopedia e Traumatologia
publishDate 2015
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162015000100110
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