Arterial injury in uncomplicated upper extremity dislocations. 2000

S R Sparks, and J DeLaRosa, and J J Bergan, and D B Hoyt, and E L Owens
Section of Vascular Surgery, University of California, San Diego, CA 92103-8401, USA.

The purpose of this study is to analyze causes and consequences of arterial injury complicating simple dislocations of the upper extremity. This is a multicenter, 5-year, retrospective analysis of vascular injury in patients sustaining shoulder or elbow dislocations without associated fractures. Foci of the study were mechanisms of injury, preoperative imaging, incidence of closed reductions, types of arterial injury, methods of surgical repair, and ultimate outcome. Arterial injury in this patient cohort occurred in 0.74% of patients. Axillary artery injury occurred in 0. 97% and brachial in 0.47%. Both elbow and shoulder dislocations may cause severe arterial damage and strenuously test surgical expertise to achieve successful repair.

UI MeSH Term Description Entries
D008297 Male Males
D001808 Blood Vessels Any of the tubular vessels conveying the blood (arteries, arterioles, capillaries, venules, and veins). Blood Vessel,Vessel, Blood,Vessels, Blood
D001916 Brachial Artery The continuation of the axillary artery; it branches into the radial and ulnar arteries. Arteries, Brachial,Artery, Brachial,Brachial Arteries
D004204 Joint Dislocations Displacement of bones from their normal positions at a joint. Inferior Dislocation,Joint Subluxations,Luxatio Erecta,Dislocation, Joint,Dislocations, Joint,Inferior Dislocations,Joint Dislocation,Joint Subluxation,Subluxation, Joint,Subluxations, Joint
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000092464 Elbow Injuries Injuries involving the ELBOW and ELBOW JOINT. Elbow Joint Injuries,Elbow Injury,Elbow Joint Injury,Injury, Elbow,Injury, Elbow Joint,Joint Injury, Elbow
D001366 Axillary Artery The continuation of the subclavian artery; it distributes over the upper limb, axilla, chest and shoulder. Arteries, Axillary,Artery, Axillary,Axillary Arteries
D012189 Retrospective Studies Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons. Retrospective Study,Studies, Retrospective,Study, Retrospective
D012783 Shoulder Dislocation Displacement of the HUMERUS from the SCAPULA. Glenohumeral Dislocation,Glenohumeral Subluxation,Dislocation, Glenohumeral,Dislocation, Shoulder,Dislocations, Glenohumeral,Dislocations, Shoulder,Glenohumeral Dislocations,Glenohumeral Subluxations,Shoulder Dislocations,Subluxation, Glenohumeral,Subluxations, Glenohumeral

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