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Vascular injuries in the upper extremity in athletes
Tristan de Mooij1, Audra A Duncan1, Sanjeev Kakar1
1Mayo Clinic, 200 1st Street South West, Rochester, MN 55905, USA.
Hand Clinics
|December 3, 2014
Summary
Repetitive arm motions can lead to upper extremity arterial injuries due to increased vascular stress. Timely diagnosis and treatment, including conservative and surgical options, are crucial for managing these injuries.
Area of Science:
- Orthopedics
- Vascular Surgery
- Sports Medicine
Background:
- Repetitive, high-stress, or high-impact arm motions can cause upper extremity arterial injuries.
- Increased functional range of motion in the upper extremity places greater stress on vascular structures.
- Muscle hypertrophy and fatigue-induced joint translation can lead to neurovascular impingement and vascular damage.
Purpose of the Study:
- To highlight the causes and diagnostic challenges of upper extremity arterial injuries.
- To outline conservative and surgical treatment strategies for these injuries.
Main Methods:
- Review of literature on upper extremity arterial injuries.
- Discussion of diagnostic evaluation emphasizing differentiation from musculoskeletal injuries.
- Categorization of treatment options into conservative and surgical management.
Main Results:
- Upper extremity arterial injuries result from repetitive or high-impact arm activities.
- Diagnosis can be challenging due to mimicry of common musculoskeletal conditions.
- Conservative treatments involve equipment and motion adjustments.
- Surgical interventions include ligation, anastomosis, and grafting.
Conclusions:
- Prompt and thorough evaluation is essential for accurate diagnosis of upper extremity arterial injuries.
- A combination of conservative measures and surgical interventions can effectively manage these vascular injuries.
Keywords:
AthleteDigital ischemiaHypothenar hammer syndromePosterior humeral circumflex injuriesQuadrilateral space syndromeThoracic outlet syndromeUpper extremityVascular injuryMore Related Videos
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