This paper is only available as a PDF. To read, Please Download here.
Vascular injury associated with select blunt trauma-induced orthopedic injuries is
thought to occur frequently enough to require angiography in most cases. We sought
to establish the actual frequency of such vascular injuries by reviewing all orthopedic
and vascular patients seen during 4 years at one institution. A total of 569 at-risk
parajoint fractures or dislocations were seen with a 1.5% incidence of vascular injury;
all were recognized on clinical examination and vascular consultation then obtained.
Vascular injury in this setting is uncommon, associated with particular clinical presentations,
and recognized by the orthopedic surgeon, without need for routine angiography or
vascular consultation.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to The American Journal of SurgeryAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Vascular injury with associated bone and joint trauma.Br J Surg. 1984; 71: 341-344
- Arterial injuries associated with fractures and/or dislocations of the knee.J Trauma. 1977; 17: 775-780
- Arterial injuries of the legs associated with fractures or dislocations.Am J Surg. 1980; 140: 806-810
- Fractures of the distal humerus.in: Fractures in children. Vol. 3. JB Lippincott, Philadelphia1984
- Acute ischemic syndrome: its treatment: prophylaxis of Volkmann's syndrome.Am J Orthop. 1960; 2: 312-316
- Arterial occlusion in juvenile humeral supracondylar fracture.Injury. 1974; 6: 254-256
- Brachial artery disruption following closed elbow dislocation.J Trauma. 1978; 18: 364-367
- Management of supracondylar fracture with brachial artery thrombosis in a child: use report and literature review.J Trauma. 1979; 19: 540-544
- Vascular injuries and closed extremity fractures in children.Clin Orthop. 1984; 188: 112-120
- Brachial artery damage accompanying closed posterior dislocation of the elbow.J Bone Joint Surg. 1985; 67 ([Br]): 378-381
- Brachial artery disruption following closed posterior elbow dislocation in a child.Clin Orthop. 1984; 184: 145-149
- Elbow dislocations.JAMA. 1965; 194: 1171-1172
- Brachial artery injuries associated with posterior elbow dislocation.Surg Gynecol Obstet. 1987; 164: 95-100
- Vascular injuries associated with dislocation of the knee.J Bone Joint Surg. 1977; 59 ([Am]): 236-241
Article info
Footnotes
2Presented at the 18th Annual Meeting of the Society for Clinical Vascular Surgery, Palm Desert, California, March 7–11, 1990.
Identification
Copyright
© 1990 Reed Publishing USA. Published by Elsevier Inc.
