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Paediatric axillary artery pseudo-aneurysm after simple shoulder dislocation.
Sush Ramakrishna Gowda1, Richard Hartley2, Robert Allison1
1University Hospital Southampton, Southampton, UK.
Shoulder & Elbow
|September 15, 2018
Summary
A rare case of axillary artery pseudo-aneurysm and brachial plexus compression occurred in a teen after shoulder dislocation. Treatment involved endovascular stent-graft and surgical decompression, highlighting a unique pediatric vascular complication.
Area of Science:
- Vascular Surgery
- Pediatric Orthopedics
- Neurology
Background:
- Shoulder dislocations in children can lead to rare but serious vascular complications.
- Deep vein thrombosis (DVT) prophylaxis guidelines for pediatric upper limb trauma are limited.
Observation:
- A 14-year-old male developed progressive shoulder swelling and neurological deficits post-shoulder reduction.
- Symptoms suggested axillary artery pseudo-aneurysm and brachial plexus compression.
Findings:
- A multidisciplinary team diagnosed an axillary artery pseudo-aneurysm with brachial plexus compression.
- Treatment combined endovascular stent-graft repair with open surgical decompression of the brachial plexus.
Implications:
- This case underscores the importance of vigilant monitoring for vascular complications after pediatric shoulder dislocations.
- The successful combined treatment approach offers a potential strategy for similar rare pediatric cases.
- Further research into pediatric DVT prophylaxis after upper limb trauma is warranted.
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