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- Title
Brachial Artery Dissection Caused by Closed Elbow Dislocation in a Snowboarder: A Case Report and Review of Literature.
- Authors
Shinpei Enokida; Koji Nawata; Hiroaki Kuroda; Takeo Otsuki; Hideki Nagashima
- Abstract
This report describes a rare case of brachial artery dissection associated with closed elbow dislocation caused by a snowboarding injury. After peripheral ischaemic findings in the right upper extremity were confirmed, urgent duplex-sonography was performed to diagnose the brachial artery injury. Urgent revascularisation surgery was promptly performed, and arterial dissection was diagnosed by intraoperative findings, in which the adventitia of the brachial artery was intact and the intima was disrupted. In this case, because there was no golden time window before undertaking urgent revascularisation surgery, duplex-sonography was very useful for making an emergency diagnosis. To diagnose arterial dissection, because the adventitia of the brachial artery is intact, it is necessary to perform arteriotomy to identify intimal disruption in the brachial artery. When diagnosing traumatic elbow dislocation, it is important to suspect arterial dissection.
- Subjects
ELBOW dislocation; ELBOW injuries; BRACHIAL artery; SNOWBOARDING injuries; WINTER sports injuries
- Publication
Yonago Acta Medica, 2022, Vol 65, Issue 2, p166
- ISSN
0513-5710
- Publication type
Article
- DOI
10.33160/yam.2022.05.004