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Upper extremity arterial injuries in athletes.

Mark R Jackson1

  • 1Academic Department of Surgery, Greenville Hospital Systems, SC 29605, USA.

Seminars in Vascular Surgery
|September 17, 2003
PubMed
Summary

Athletes performing overhead motions can suffer upper extremity arterial injuries, causing hand ischemia. Early diagnosis and surgical repair lead to full recovery and return to sports.

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Area of Science:

  • Orthopedic Surgery
  • Vascular Surgery
  • Sports Medicine

Background:

  • Repetitive overhead activities in athletes can lead to upper extremity arterial injuries.
  • These injuries, including hand and digit ischemia, often present as common musculoskeletal issues.
  • A high index of suspicion is crucial for timely diagnosis.

Purpose of the Study:

  • To highlight the mechanisms, diagnosis, and successful treatment of upper extremity arterial injuries in athletes.
  • To emphasize the importance of recognizing these vascular injuries.
  • To discuss the outcomes of surgical repair.

Main Methods:

  • Review of injury mechanisms, focusing on extrinsic compression of the axillary artery.
  • Clinical diagnosis supported by noninvasive vascular laboratory testing.
  • Anatomical confirmation via contrast arteriography.

Main Results:

  • Surgical repair is highly successful in affected athletes.
  • Full recovery and return to competition are generally achieved post-surgery.
  • Early diagnosis significantly impacts patient outcomes.

Conclusions:

  • Upper extremity arterial injuries in athletes require prompt recognition and diagnosis.
  • Noninvasive testing and arteriography are key diagnostic tools.
  • Surgical intervention offers excellent outcomes, enabling athletes to return to their sport.

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