Rapid Communication| Volume 33, ISSUE 9, P771-774, November 2002

Shoulder disarticulation: a sequel of vascular injury secondary to a proximal humeral fracture

      We submit a case of a pseudoaneurysm of the axillary artery secondary to a proximal humeral fracture. There was a latent period of 4 months, from index injury to the presentation with arterial thrombosis. The patient attended Accident and Emergency (A&E) Department with a massive swelling and bruising of the shoulder and upper arm. This was accompanied with distal neurovascular deficit. Arteriogram showed a complete block of axillary artery. On exploration the limb was unsalvageable beyond the blockage. A shoulder disarticulation was performed.
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