Volume 3, 2017
|Number of page(s)||3|
|Published online||11 January 2017|
Axillary artery transection and bilateral pulmonary embolism after anterior shoulder dislocation: case report
Vascular Surgery Unit, University Hospital of Besançon, 25030
2 Orthopaedic, Traumatology and Hand Surgery Unit, University Hospital of Besançon, 25030 Besançon, France
* Corresponding author: firstname.lastname@example.org
Accepted: 19 November 2016
Introduction: Anterior shoulder dislocation can be associated with vascular and neurological complications. However, axillary artery injury associated with shoulder dislocation is rare and extremely rare without bone fracture. An early diagnosis of these complications allows predicting long-term functional outcomes.
Methods: This article reports the case of a 66-year-old patient who presented an anterior shoulder dislocation after a ski fall without any neurological dysfunction or pulse deficit.
Results: The first reduction attempts were unsuccessful and during the new attempt, we observed a hematoma. A CT scan showed a disruption of the axillary artery and a bilateral pulmonary embolism.
Conclusion: Neurovascular injury must be systematically sought before and after reduction, and a multidisciplinary approach is always necessary.
Key words: Axillary injury / Bilateral pulmonary embolism / Anterior shoulder dislocation / Neurovascular complications
© The Authors, published by EDP Sciences, 2017
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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