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Related Experiment Videos

Upper extremity trauma: current trends in management.

W M Stone1, R J Fowl, S R Money

  • 1Division of Vascular Surgery, Mayo Clinic College of Medicine, Scottsdale, AZ 85054, USA. stone.william@mayo.edu

The Journal of Cardiovascular Surgery
|November 9, 2007
PubMed
Summary
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This review covers upper extremity trauma, focusing on vascular and neurologic injuries. Endovascular approaches improve survival and reduce morbidity from vascular trauma, but long-term outcomes depend on associated injuries.

Area of Science:

  • Trauma Surgery
  • Vascular Surgery
  • Neurology

Background:

  • Upper extremity trauma presents complex challenges due to the proximity of vital structures (veins, arteries, nerves).
  • Vascular injuries are immediately life-threatening, while orthopedic and neurologic injuries cause long-term disability.
  • Anatomic complexities in the upper extremity complicate the management of vascular injuries.

Purpose of the Study:

  • To review management trends for vascular and neurologic injuries resulting from upper extremity trauma.
  • To highlight the evolution of treatment strategies, particularly the impact of endovascular approaches.
  • To discuss the interplay between vascular control, procedural morbidity, and long-term patient outcomes.

Main Methods:

  • Literature review encompassing penetrating and blunt upper extremity trauma.

Related Experiment Videos

  • Analysis of historical and contemporary management strategies for vascular and neurologic injuries.
  • Evaluation of endovascular techniques versus traditional open repair for vascular trauma.

    • Main Results:

    • Endovascular approaches have significantly reduced morbidity associated with vascular interventions.
    • Remote access for reconstruction minimizes additional injury to the extremity.
    • Improved survival rates and decreased procedural morbidity are noted with endovascular techniques.

    Conclusions:

    • Endovascular interventions offer a less morbid approach to managing upper extremity vascular trauma.
    • While endovascular techniques enhance survival and reduce immediate complications, overall long-term outcomes are contingent on associated orthopedic and neurologic injuries.
    • A comprehensive management strategy addressing all injury types is crucial for optimal patient recovery.