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Case Reports
. 2021 Apr 15;14(4):e242740.
doi: 10.1136/bcr-2021-242740.

Disappearing pulse: proximal humerus fracture with acute thrombosis of axillary artery

Affiliations
Case Reports

Disappearing pulse: proximal humerus fracture with acute thrombosis of axillary artery

Nikhil Hegde et al. BMJ Case Rep. .
No abstract available

Keywords: orthopaedics; trauma.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
(A) Radiograph showing Neer’s four-part fracture of the left proximal humerus, with gross medial displacement of the distal fragment. (B) Postoperative radiographs following ORIF showing reduced fracture with implant in situ.
Figure 2
Figure 2
(A) Intraoperative clinical photo showing thrombosed section of axillary artery. (B) CT scan showing absent flow in the distal part of the axillary artery close to a bony spike of the distal fracture fragment.

References

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    1. Thorsness R, English C, Gross J, et al. . Proximal humerus fractures with associated axillary artery injury. J Orthop Trauma 2014;28:659–63. 10.1097/BOT.0000000000000114 - DOI - PubMed
    1. Yagubyan M, Panneton JM. Axillary artery injury from humeral neck fracture: a rare but disabling traumatic event. Vasc Endovascular Surg 2004;38:175–84. 10.1177/153857440403800210 - DOI - PubMed
    1. Baxter MP, Wiley JJ. Fractures of the proximal humeral epiphysis. their influence on humeral growth. J Bone Joint Surg Br 1986;68-B:570–3. 10.1302/0301-620X.68B4.3733832 - DOI - PubMed
    1. Papaconstantinou HT, Fry DM, Giglia J, et al. . Endovascular repair of a blunt traumatic axillary artery injury presenting with limb-threatening ischemia. J Trauma 2004;57:180–3. 10.1097/01.TA.0000058310.03167.A5 - DOI - PubMed

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