Faur Cosmin Ioan, Nitu Razvan, Abu-Awwad Simona-Alina, Tudoran Cristina, Abu-Awwad Ahmed
Department XV-Discipline of Orthopedics-Traumatology, "Victor Babes" University of Medicine and Pharmacy, Eftimie Murgu Square, No. 2, 300041 Timisoara, Romania.
"Pius Brinzeu" Emergency Clinical County Hospital, Bld Liviu Rebreanu, No. 156, 300723 Timisoara, Romania.
J Pers Med. 2023 Dec 14;13(12):1712. doi: 10.3390/jpm13121712.
This comprehensive review delves into the nuanced domain of arterial axis lesions associated with proximal humeral fractures, elucidating the intricate interplay between fracture patterns and vascular compromise. Proximal humeral fractures, a common orthopedic occurrence, often present challenges beyond the skeletal realm, necessitating a profound understanding of the vascular implications.
The study synthesizes the existing literature, presenting a collective analysis of documented cases and their respective clinical outcomes. The spectrum of arterial axis lesions, from subtle vascular compromise to overt ischemic events, is systematically examined, highlighting the varied clinical manifestations encountered in proximal humeral fractures. Diagnostic modalities, including advanced imaging techniques such as angiography and Doppler ultrasound, are scrutinized for their efficacy in identifying arterial axis lesions promptly. The review emphasizes the critical role of early and accurate diagnosis in mitigating the potential sequelae associated with vascular compromise, thereby underscoring the importance of a vigilant clinical approach.
Therapeutic strategies, ranging from conservative management to surgical interventions, are critically evaluated in the context of existing evidence. The evolving landscape of endovascular interventions and their applicability in addressing arterial axis lesions specific to proximal humeral fractures is explored, providing valuable insights for clinicians navigating the therapeutic decision-making process. Furthermore, the review addresses gaps in current knowledge and proposes avenues for future research, emphasizing the need for tailored, evidence-based guidelines in the management of arterial axis lesions in proximal humeral fractures. By consolidating current understanding and pointing towards areas warranting further exploration, this review contributes to the ongoing discourse surrounding the intricacies of vascular complications in orthopedic trauma.
this comprehensive review provides a synthesized overview of arterial axis lesions in proximal humeral fractures, offering a valuable resource for clinicians, researchers, and educators alike. The findings underscore the multifaceted nature of these lesions and advocate for a holistic, patient-centered approach to their management.
本综述深入探讨了与肱骨近端骨折相关的动脉轴损伤这一细微领域，阐明了骨折类型与血管损伤之间的复杂相互作用。肱骨近端骨折是一种常见的骨科疾病，其带来的挑战往往超出骨骼范畴，因此有必要深入了解其血管方面的影响。
该研究综合了现有文献，对已记录病例及其各自的临床结果进行了汇总分析。系统检查了从细微的血管损伤到明显的缺血事件等一系列动脉轴损伤情况，突出了肱骨近端骨折中遇到的各种临床表现。对包括血管造影和多普勒超声等先进成像技术在内的诊断方法进行了审查，以评估其在及时识别动脉轴损伤方面的有效性。该综述强调了早期准确诊断在减轻与血管损伤相关潜在后遗症方面的关键作用，从而凸显了警惕性临床方法的重要性。
在现有证据的背景下，对从保守治疗到手术干预等一系列治疗策略进行了严格评估。探讨了血管内介入治疗的发展态势及其在处理肱骨近端骨折特有的动脉轴损伤方面的适用性，为临床医生在治疗决策过程中提供了有价值的见解。此外，该综述还指出了当前知识的空白，并提出了未来研究的方向，强调在肱骨近端骨折动脉轴损伤管理中需要制定针对性的、基于证据的指南。通过巩固当前的认识并指出有待进一步探索的领域，本综述为围绕骨科创伤中血管并发症复杂性的持续讨论做出了贡献。
本综述全面概述了肱骨近端骨折中的动脉轴损伤，为临床医生、研究人员和教育工作者提供了宝贵资源。研究结果强调了这些损伤的多面性，并倡导采用整体的、以患者为中心的方法进行管理。
