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Rare finding of axillary artery dissection secondary to a proximal humerus fracture-dislocation: A case report
Leighann C Krasney1, Christopher Rennie2, Jason Brustein3
1Department of Orthopaedic Surgery, UPMC Harrisburg, Harrisburg, PA, United States of America.
Case:
Proximal humerus fractures are a relatively common injury, making up approximately 5 % of all extremity fractures. Concurrent damage to the axillary artery, however, is not a commonly associated trauma. We present a unique case of a proximal humerus fracture-dislocation resulting in an axillary artery dissection and upper extremity ischemia, requiring emergent vascular intervention.
Conclusion:
Axillary artery injury secondary to a proximal humerus fracture-dislocation is a rare, but possibly devastating complication. A thorough physical examination to identify any neurovascular deficits is critical in determining an optimal and timely resolution.
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