Complete Brachial Artery Transection following closed Posterior Elbow Dislocation: A Rare Case Report
نویسندگان
چکیده
INTRODUCTION Vascular injury associated withclosed posterior elbow dislocations is rare and it usually occurs along with open dislocation, anterior dislocation, penetrating injuries, dislocations associated with fracture. We report such a case of closed posterior elbow dislocation with complete brachial artery rupture. CASE REPORT A 58 years old lady sustained posterior dislocation of right elbow following a fall at home. She presented three days later with complaints of severe pain, swelling around the right elbow and numbness of fingers following a closed reduction done elsewhere. Computed graft angiography showed complete transection of brachialartery. Patient was treated with thrombectomy, right great saphenous vein graft interposition repair of brachial artery and forearm fasciotomy. CONCLUSION Vascular injuries associated with posterior elbow dislocation are very rare, but high index of suspicion of arterial injury need to be thought off and repeated vascular examination during pre and post reduction stage should be done to prevent complications.
منابع مشابه
Posterior Elbow Dislocation with Brachial Artery Thrombosis Treated Non-surgically: A Case Report
The brachial artery is rarely injured in closed posterior dislocation of the elbow, unlike the high rate of vascular injury seen after dislocation of the knee. Despite the anatomical proximity of the brachial artery to the elbow joint, most cases of brachial artery injury after dislocation of the elbow are related to an associated fracture, an open injury or high-energy trauma. A high index of ...
متن کاملAnterior Dislocation of Elbow with Neurovascular Injury: A Rare Case Report
INTRODUCTION Anterior elbow dislocation is an infrequent lesion, produced by direct trauma to the proximal ulna after a fall on the elbow in flexion and injury to the neurovascular bundle is not infrequent. Authors report a case of acute anterior dislocation of the elbow joint with neurovascular injury. CASE REPORT A 30-year-old male admitted with a history of accidental fall followed by pain...
متن کاملBrachial artery injury due to closed posterior elbow dislocation: case report.
An association between closed posterior elbow dislocation and traumatic brachial artery injury is rare. Absence of radial pulse on palpation is an important warning sign and arteriography is the gold-standard diagnostic test. Early diagnosis is essential for appropriate treatment to be provided. This consists of joint reduction and immobilization, along with urgent surgical restoration of arter...
متن کاملBipolar Dislocation of Left Shoulder and Left Elbow: (Luxatio Erecta+Posterior Dislocation of Elbow) (A Case Report)
This is a report on simultaneous dislocation of the left shoulder and elbow resulting in a 16 years old boy. Bipolar dislocation of Luxatio Erecta and posterior dislocation of the elbow is extremely rare. After clinical examinations (attention to pain, swelling, and deformity of the shoulder and elbow joints and neurovascular examinations), the necessary radiography was performed for the patien...
متن کاملBrachial Artery Injury in a Child following Closed Elbow Dislocation: Case Report of a Rare Injury
Elbow dislocation, though a common orthopaedic emergency is rare with brachial artery injury and is even more uncommon in the paediatric age group. We present the case of a child who sustained trauma resulting in closed elbow dislocation with brachial artery injury. Elbow dislocation with brachial artery injury can present with palpable distal pulses and good capillary refill because of rich co...
متن کامل