Trauma & Orthopaedics Core Surgical Trainee 2, West Middlesex University Hospital NHS Trust, Twickenham Road, Isleworth, Middlesex TW7 6AF, UK.
Emerg Med J. 2011 Apr;28(4):330-1. doi: 10.1136/emj.2009.082040. Epub 2010 Nov 10.
In lower extremity trauma, it is routine to check the neurovascular status of the affected limb. Failure to recognise a vascular injury can have catastrophic consequences for the patient. The frequent observation of the distal pulses at regular intervals after a traumatic knee dislocation is absolutely mandatory for the early recognition and management of popliteal artery thrombosis. A limb-threatening complication of popliteal artery thrombosis occurring in association with a palpable dorsalis pedis pulse after a trampoline-related knee dislocation is reported here to emphasise some important teaching points. These lessons are a learning tool to help in the early recognition of the potential complications associated with such injuries and thus minimise their occurrence.
在下肢创伤中，检查受影响肢体的神经血管状态是常规操作。未能识别血管损伤可能会对患者造成灾难性后果。在创伤性膝关节脱位后，定期频繁观察远端脉搏对于早期识别和管理腘动脉血栓形成是绝对必要的。此处报告了与蹦床相关的膝关节脱位后可触及的背动脉脉搏相关的腘动脉血栓形成的肢体威胁性并发症，以强调一些重要的教学要点。这些教训是一种学习工具，可以帮助早期识别与这些损伤相关的潜在并发症，从而最大限度地减少其发生。
