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Closed elbow dislocation and brachial artery damage

G M Slowik1, M Fitzimmons, J M Rayhack

  • 1Department of Orthopaedic Surgery, Tampa General Hospital, Florida.

Journal of Orthopaedic Trauma
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

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Brachial artery damage from elbow dislocation without fracture is rare, with only 25 reported cases. Surgical repair, like vein grafting, is recommended for this uncommon injury.

Area of Science:

  • Orthopedic Surgery
  • Vascular Surgery
  • Traumatology

Background:

  • Elbow dislocations are common orthopedic emergencies.
  • Brachial artery injury is a rare but serious complication of elbow dislocations, especially without associated fractures.
  • Limited literature exists on managing this specific injury pattern.

Observation:

  • A case of brachial artery damage secondary to a closed elbow dislocation without fracture is presented.
  • The patient's condition was successfully treated with brachial artery vein grafting.
  • This highlights a rare but significant vascular complication.

Findings:

  • Brachial artery injury in closed elbow dislocations without fracture is exceptionally uncommon, with only 25 prior reports.
  • Operative repair, specifically vein grafting in this case, proved effective.

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  • Early surgical intervention is crucial for favorable outcomes.

    • Implications:

    • This case underscores the importance of vascular assessment in all elbow dislocations.
    • Vein grafting is a viable and recommended treatment option for brachial artery damage in this context.
    • Further research into optimal management strategies for this rare injury is warranted.