Amsallem J L, Blankstein A, Bass A, Horoszowski H
Department of Orthopaedic Surgery A, Chaim Sheba Medical Center, Tel Hashomer, Israel.
Orthop Rev. 1986 Jun;15(6):379-82.
A case is presented of a 32-year-old man who sustained a closed posterior dislocation of the left elbow. The dislocation was reduced immediately under intravenous sedation. When, after reduction, the pulse remained weak, angiography revealed a complete tear of the brachial artery. The artery was repaired with end-to-end anastomosis, resulting in a good radial pulse at the end of the procedure. Though dislocation of the elbow is a relatively common traumatic injury, associated brachial artery injury is rare. The authors note that the diagnosis of arterial trauma in such cases should rely heavily on angiography.
本文报告一例32岁男性，其左肘发生闭合性后脱位。在静脉镇静下立即进行了脱位复位。复位后，若脉搏仍较弱，血管造影显示肱动脉完全撕裂。通过端端吻合修复了动脉，手术结束时桡动脉搏动良好。虽然肘关节脱位是一种相对常见的创伤性损伤，但肱动脉相关损伤却很罕见。作者指出，此类病例中动脉创伤的诊断应高度依赖血管造影。
