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    Axillary artery and brachial plexus injury secondary to blunt trauma.

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    Authors
    Foley, James
    Elamien, Ahmed
    McCann, Brendan
    Issue Date
    2021-03-13
    Keywords
    TRAUMA
    SURGERY
    
    Metadata
    Show full item record
    Journal
    Journal of surgical case reports
    URI
    http://hdl.handle.net/10147/631800
    DOI
    10.1093/jscr/rjab068
    PubMed ID
    33738092
    Abstract
    Rupture of the axillary artery in the absence of a fracture of dislocation is a rare traumatic event. An associated injury to the brachial plexus may accompany an axillary artery injury but has rarely been reported in the literature. We present the case of an elderly female, who fell onto an outstretched arm and sustained an axillary artery rupture, combined with a brachial plexus injury. The patient in this case did well post-operatively. The challenge in these cases is early recognition and diagnosis of a vascular injury. A significant mechanism of injury needs to alert the clinician to the possibility of such injuries and if suspected, early investigation and surgical exploration should be initiated to prevent limb ischemia. Subsequently, if the neurological symptoms do not improve, consideration must be given to the possibility of a nerve injury and early recognition and management to prevent long-term functional deficits.
    Item Type
    Article
    Language
    en
    ISSN
    2042-8812
    ae974a485f413a2113503eed53cd6c53
    10.1093/jscr/rjab068
    Scopus Count
    Collections
    University Hospital Waterford

    entitlement

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