McLaughlin J A, Light R, Lustrin I
Department of Orthopaedic Surgery, Long Island Jewish Medical Center, New Hyde Park, NY, USA.
J Shoulder Elbow Surg. 1998 May-Jun;7(3):292-4. doi: 10.1016/s1058-2746(98)90058-1.
Proximal humerus fractures are common injuries and represent approximately 5% of all fractures. These fractures are infrequently associated with neurovascular injuries. Brachial plexus injuries are uncommon, whereas axillary artery injuries are rare. A review of 19 previously reported cases of axillary artery injury after proximal humerus fracture revealed that 84% occurred in patients older than 50 years, 53% were associated with brachial plexus injury, and 21% resulted in upper extremity amputation. This study describes a case of axillary artery injury after proximal humerus fracture and, on the basis of a literature review, offers suggestions for the early diagnosis and effective treatment of this uncommon injury.
肱骨近端骨折是常见损伤，约占所有骨折的5%。这些骨折很少与神经血管损伤相关。臂丛神经损伤不常见，而腋动脉损伤则罕见。回顾19例先前报道的肱骨近端骨折后腋动脉损伤病例发现，84%发生在50岁以上患者，53%与臂丛神经损伤相关，21%导致上肢截肢。本研究描述了一例肱骨近端骨折后腋动脉损伤病例，并在文献回顾的基础上，对这种罕见损伤的早期诊断和有效治疗提出建议。
