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Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome
Published on: September 13, 2020
Axillary artery dissection after scapular fracture.
Ivan Cvjetko1, Mario Staresinic, Dubravko Hlevnjak
1Department of Vascular Surgery, University Hospital Merkur, Zagreb, Croatia. ivancvjetko@yahoo.com
Annals of Vascular Surgery
|May 3, 2011
Summary
Blunt shoulder trauma can injure axillary artery and nerves. Prompt diagnosis and repair of arterial dissection are crucial, but nerve damage impacts long-term function.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Vascular Surgery
Background:
- Blunt shoulder trauma infrequently leads to arterial or nerve damage due to anatomical protection.
- The axilla's neurovascular structures are shielded by muscles and bone.
Observation:
- A 34-year-old male motorcyclist sustained a multipart left scapula fracture after blunt trauma.
- Angiography revealed dissection of the left axillary artery, proximal to the pectoralis minor muscle.
Findings:
- Urgent diagnosis via imaging is vital for managing blunt shoulder trauma with suspected vascular injury.
- Open or endovascular repair is necessary to restore blood flow in cases of axillary artery dissection.
Implications:
- Prompt revascularization is critical for optimal outcomes in blunt shoulder trauma involving arterial injury.
- Nerve damage significantly influences the final functional prognosis, irrespective of the speed of arterial repair.
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