Farhaoui Amine El, Darraz Sohayb, Zeryouh Brahim, Batou Yassine, Lachkar Adnane, Abdeljaouad Najib, Yacoubi Hicham
Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco.
Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, Morocco.
Radiol Case Rep. 2025 Jan 14;20(4):1802-1806. doi: 10.1016/j.radcr.2024.12.045. eCollection 2025 Apr.
The association of brachial plexus nerve injury with arterial involvement in the context of shoulder trauma is well documented in the literature. However, the clinical presentation can vary significantly from case to case. In severe trauma cases, there may be a simultaneous occurrence of both types of injuries. An arterial injury can lead to the formation of a hematoma, causing compression of the nerves that innervate the upper limb. Additionally, avulsion or stretching of the roots of the brachial plexus may also generate a peri‑arterial hematoma, which can result in arterial thrombosis. These complex mechanisms underscore the importance of a multidisciplinary assessment in the management of these patients.
在肩部创伤的情况下，臂丛神经损伤与动脉受累之间的关联在文献中有充分记载。然而，临床表现可能因病例而异。在严重创伤病例中，两种类型的损伤可能同时发生。动脉损伤可导致血肿形成，压迫支配上肢的神经。此外，臂丛神经根的撕脱或拉伸也可能产生动脉周围血肿，进而导致动脉血栓形成。这些复杂机制凸显了多学科评估在这些患者管理中的重要性。
