Hiroshi Yamazaki1, Yusuke Akaoka1, Masatoshi Komatsu1. 1. Department of Orthopaedic Surgery, Aizawa Hospital, Honjo 1-5-2, Matsumoto 390-8510, Japan. E-mail address for H. Yamazaki: hiroshiymzk1017@ybb.ne.jp. E-mail address for Y. Akaoka: zebrawoodc@shinshu-u.ac.jp. E-mail address for M. Komatsu: renaissance_3@hotmail.co.jp.
Abstract
CASE: Injury of the axillary artery after shoulder-joint fracture or dislocation is uncommon. We describe the clinical outcome of an elderly patient with a dissecting aneurysm of the axillary artery following open reduction of a fracture-dislocation of the shoulder. The arterial dissection was successfully managed with percutaneous transluminal balloon angioplasty. CONCLUSION: This case report highlights the need for careful vascular examination of all elderly patients with a fracture or dislocation of the shoulder and the possible use of percutaneous transluminal angioplasty for the management of arterial dissection prior to proceeding with surgical exploration.
CASE: Injury of the axillary artery after shoulder-joint fracture or dislocation is uncommon. We describe the clinical outcome of an elderly patient with a dissecting aneurysm of the axillary artery following open reduction of a fracture-dislocation of the shoulder. The arterial dissection was successfully managed with percutaneous transluminal balloon angioplasty. CONCLUSION: This case report highlights the need for careful vascular examination of all elderly patients with a fracture or dislocation of the shoulder and the possible use of percutaneous transluminal angioplasty for the management of arterial dissection prior to proceeding with surgical exploration.