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Blunt traumatic subclavian artery injury
M B Yoak1, B L Beaver, D A Denning
1Dept. of Surgery, Marshall University School of Medicine, Huntington, USA.
The West Virginia Medical Journal
|April 20, 2000
Summary
Subclavian artery injuries from blunt trauma are rare but often involve other structures. Prompt diagnosis and surgery are key to preventing long-term disability, especially from nerve damage.
Area of Science:
- Trauma Surgery
- Vascular Surgery
- Orthopedic Surgery
Background:
- Subclavian artery injuries represent a small fraction of upper extremity trauma.
- These injuries often occur with associated nerve, bone, and joint damage.
Observation:
- This study reviews four cases of subclavian artery injury due to blunt trauma.
- The cases were treated at two Level II trauma centers.
Findings:
- Subclavian artery injury from blunt trauma is uncommon (3% of upper extremity trauma).
- Nerve injury is frequently associated and a primary cause of long-term limb dysfunction.
Implications:
- Early identification and surgical management of subclavian artery injuries are crucial.
- Addressing concomitant nerve injuries is essential for optimal patient outcomes and reducing disability.