Gugenheim S, Sanders R J
Surgery. 1984 Jan;95(1):55-8.
A case of axillary artery disruption following an anterior shoulder dislocation is reported, the eleventh such case in the past 25 years. As an alternative to dividing the pectoralis major tendon, two incisions, infraclavicular and transaxillary incisions, were used to repair the artery with an interposition Dacron graft. An absent radial pulse following a shoulder dislocation suggests the possibility of axillary artery injury, usually a dissected intimal flap but occasionally a ruptured vessel. Early arterial repair is indicated, preceded by arteriography, if available. Brachial plexus injury frequently accompanies arterial damage and is not affected by arterial repair. Permanent, partial motor dysfunction is common, especially involving the extensors of the hand.
本文报告了一例肩关节前脱位后腋动脉断裂的病例，这是过去25年中的第11例此类病例。作为一种替代切断胸大肌腱的方法，采用锁骨下和经腋窝两个切口，用带涤纶补片的血管移植术修复动脉。肩关节脱位后桡动脉搏动消失提示腋动脉损伤的可能性，通常是内膜瓣撕裂，但偶尔也有血管破裂。如有条件，应在动脉造影后尽早进行动脉修复。臂丛神经损伤常与动脉损伤同时存在，且不受动脉修复的影响。永久性部分运动功能障碍很常见，尤其是手部伸肌受累。
