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腋动脉损伤与肱骨近端骨折脱位或移位相关：3 例报告。

Axillary Artery Injury Associated with Dislocated or Displaced Proximal Humeral Fracture: A Report of 3 Cases.

机构信息

Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, Kobe, Japan.

出版信息

JBJS Case Connect. 2024 Aug 15;14(3). doi: 10.2106/JBJS.CC.24.00006. eCollection 2024 Jul 1.

DOI:10.2106/JBJS.CC.24.00006
PMID:39146441
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11323756/
Abstract

CASE

(1) A 69-year-old man sustained a proximal humeral fracture-dislocation. During emergency surgery, copious bleeding occurred. A pseudoaneurysm was identified 30 days postoperatively. (2) A 69-year-old man sustained a proximal humeral fracture and axillary artery injury. Physical examination demonstrated a cold but pink hand. Hemiarthroplasty and bypass vein grafting were performed. (3) An 86-year-old woman sustained a proximal humeral fracture and axillary artery injury. Her hand had turned cold and pale. Reverse shoulder arthroplasty and bypass vein grafting were performed.

CONCLUSION

In cases of proximal humeral fractures with significant displacement, concomitant axillary artery injury must be assessed and if there is a high index of suspicion, prompt advanced imaging is necessary.

摘要

病例

（1）一名 69 岁男性发生了肱骨近端骨折脱位。在急诊手术中，大量出血。术后 30 天发现假性动脉瘤。（2）一名 69 岁男性发生了肱骨近端骨折和腋动脉损伤。体格检查显示手部发凉但颜色粉红。行人工半肩关节置换和旁路静脉移植术。（3）一名 86 岁女性发生了肱骨近端骨折和腋动脉损伤。手部发凉且苍白。行反肩关节置换和旁路静脉移植术。

结论

对于有明显移位的肱骨近端骨折，必须评估是否合并腋动脉损伤，如果高度怀疑存在腋动脉损伤，应及时进行高级影像学检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/11323756/bc9932be84ee/jbjscc-14-e24.00006-g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/11323756/60d311a3f0c6/jbjscc-14-e24.00006-g001.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/11323756/379c061aa987/jbjscc-14-e24.00006-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/11323756/6b2d82e46f6e/jbjscc-14-e24.00006-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/11323756/a19dcdbd9f70/jbjscc-14-e24.00006-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/11323756/bc9932be84ee/jbjscc-14-e24.00006-g008.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/11323756/379c061aa987/jbjscc-14-e24.00006-g003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/11323756/f593a2df3cab/jbjscc-14-e24.00006-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/11323756/6b2d82e46f6e/jbjscc-14-e24.00006-g006.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d03/11323756/bc9932be84ee/jbjscc-14-e24.00006-g008.jpg

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