Case report| Volume 18, ISSUE 6, P423-425, November 1987

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Neurovascular injury complicating displaced proximal fractures of the humerus

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      Three cases with injury of the axillary artery and brachial plexus complicating a displaced proximal fracture of the humerus are presented. In two patients the arterial injury was not recognized on admission. Vascular repair had to be carried out in all three cases. Two patients showed a persistent neurological deficit. In two of the cases, the arterial injury may have been caused by an attempt at closed reduction of the fracture. The possibility of axillary arterial injury should be considered in proximal fractures of the humerus with severe medial displacement of the shaft of the humerus.
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        • Henson G.F.
        Vascular complications of shoulder injuries: A report of two cases.
        J. Bone Joint Surg. 1956; 38B: 528
        • LeBorgne J.
        • LeNeel J.C.
        • Mitland D.
        Les lésions de l'artère axillaire et de ses branches consecutives a un traumatisme fermé de l'epaule.
        Ann. Chir. (Paris). 1973; 27: 587
        • Linson M.A.
        Axillary thrombosis after fracture of the humerus: A case report.
        J. Bone Joint Surg. 1980; 62A: 1214
        • McQuillan W.M.
        • Nolan B.
        Ischemia complicating injury.
        J. Bone Joint Surg. 1968; 50B: 482
        • Neer II, C.S.
        Displaced proximal humeral fractures. Part I: Classification and evaluation.
        J. Bone Joint Surg. 1970; 52A: 1077
        • Neer II, C.S.
        Displaced proximal humeral fractures. Part II: Treatment of three-part and four-part displacement.
        J. Bone Joint Surg. 1970; 52A: 1090
        • Neer II, C.S.
        • Rockwood C.A.
        Fractures and dislocations of the shoulder.
        in: Fractures. Vol. 1. J. B. Lippincott, Philadelphia1975: 585
        • Smyth E.H.J.
        Major arterial injury in closed fracture of the neck of the humerus: Report of a case.
        J. Bone Joint Surg. 1969; 51A: 508
        • Theodorides T.
        • Dekeizer G.
        Injuries of the axillary artery caused by fractures of the neck of the humerus.
        Injury. 1976; 8: 120
        • Zuckerman J.D.
        • Flugstad D.L.
        • Teitz C.C.
        • et al.
        Axillary artery injury as a complication of proximal humeral fractures: Two case reports and a review of the literature.
        Clin. Orthop. 1984; 189: 234