C JayanthKumar B, Sampath Deepak, N Hanumantha Reddy, Motukuru Vishnu
Department of Orthopaedic surgery, St. Martha's Hospital, Bangalore. India.
J Orthop Case Rep. 2015 Oct-Dec;5(4):27-9. doi: 10.13107/jocr.2250-0685.338.
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.
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.
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.
与闭合性肘关节后脱位相关的血管损伤较为罕见，通常与开放性脱位、前脱位、穿透伤、合并骨折的脱位同时发生。我们报告了这样一例闭合性肘关节后脱位伴肱动脉完全断裂的病例。
一名58岁女性在家中跌倒后发生右肘关节后脱位。三天后，她因在其他地方进行闭合复位后出现右肘严重疼痛、肿胀及手指麻木前来就诊。计算机断层血管造影显示肱动脉完全横断。患者接受了血栓切除术、右大隐静脉移植术修复肱动脉及前臂筋膜切开术治疗。
与肘关节后脱位相关的血管损伤非常罕见，但需要高度怀疑动脉损伤，并在复位前后阶段反复进行血管检查以预防并发症。
