肱骨近端骨折脱位继发腋动脉夹层的罕见病例：一例报告
Rare finding of axillary artery dissection secondary to a proximal humerus fracture-dislocation: A case report.
作者信息
Krasney Leighann C, Rennie Christopher, Brustein Jason, Naylor Brandon
机构信息
Department of Orthopaedic Surgery, UPMC Harrisburg, Harrisburg, PA, United States of America.
Nova Southeastern University College of Osteopathic Medicine, Tampa, FL, United States of America.
出版信息
Trauma Case Rep. 2023 Apr 3;45:100828. doi: 10.1016/j.tcr.2023.100828. eCollection 2023 Jun.
CASE
Proximal humerus fractures are a relatively common injury, making up approximately 5 % of all extremity fractures. Concurrent damage to the axillary artery, however, is not a commonly associated trauma. We present a unique case of a proximal humerus fracture-dislocation resulting in an axillary artery dissection and upper extremity ischemia, requiring emergent vascular intervention.
CONCLUSION
Axillary artery injury secondary to a proximal humerus fracture-dislocation is a rare, but possibly devastating complication. A thorough physical examination to identify any neurovascular deficits is critical in determining an optimal and timely resolution.
病例
肱骨近端骨折是一种相对常见的损伤，约占所有四肢骨折的5%。然而，腋动脉同时受损并非常见的相关创伤。我们报告一例独特的肱骨近端骨折脱位病例，该病例导致腋动脉夹层形成和上肢缺血，需要紧急血管介入治疗。
结论
肱骨近端骨折脱位继发腋动脉损伤是一种罕见但可能具有毁灭性的并发症。进行全面体格检查以确定是否存在任何神经血管缺损，对于确定最佳和及时的治疗方案至关重要。
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