Journal of Emergencies, Trauma, and Shock
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LETTER TO EDITOR Table of Contents   
Year : 2010  |  Volume : 3  |  Issue : 3  |  Page : 308
Posterior dislocation of elbow with brachial artery injury


Department of Orthopaedics, JSS Medical College and Hospital, Mysore - 570 004, India

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Date of Web Publication19-Jul-2010
 

How to cite this article:
Jain K, Kumar SY, Mruthyunjaya, Ravishankar R, Nair AV. Posterior dislocation of elbow with brachial artery injury. J Emerg Trauma Shock 2010;3:308

How to cite this URL:
Jain K, Kumar SY, Mruthyunjaya, Ravishankar R, Nair AV. Posterior dislocation of elbow with brachial artery injury. J Emerg Trauma Shock [serial online] 2010 [cited 2022 Jan 21];3:308. Available from: https://www.onlinejets.org/text.asp?2010/3/3/308/66560


Sir,

Although isolated closed posterior elbow dislocation occurs frequently, associated brachial artery injury is an uncommon complication, which is rarely encountered. [1] Complications, such as intermittent claudication or gangrene of the hand are possible if brachial artery flow is not restored.

A 16-year-old boy presented to the emergency department with pain, swelling, and deformity of the right elbow following a fall from a tree, on outstretched hand. There was no history of head injury or loss of consciousness or bleeding from any orifices or blunt abdominal injury. X-rays showed a posterior dislocation of elbow. There was no radial pulses palpable hence patient was taken up for emergency surgery. The patient had lacerated his radial artery which was repaired using a "reversed saphenous vein interposition graft [Figure 1].

The patient made a good post operative recovery and the function of the hand was preserved.

The pearl is that emergency exploration and repair or reconstruction of the arterial injuries provide good functional outcome and help us to save "the working hand." We draw attention to the need of meticulous clinical examination of all cases with doubtful vascularity, as Doppler study and Angiogram are not easily accessible in many casualty setups, for surgical decision-making.

To conclude, until this date only a handful of cases have been reported, where a patient with closed elbow dislocation with or without associated fractures. [2] Our case being one such, points to the necessity for not to overlook such a complication, though rare!

 
   References Top

1.Baulot E, Giroux EA, Ciry-Gomez M, Grammont PM. Brachialis arteria rupture following closed posterior elbow dislocation: Case report and literature review. Ann Chir Main Memb Super 1997;16:258-62.   Back to cited text no. 1  [PUBMED]    
2.Platz A, Heinzelmann M, Ertel W, Trentz O. Posterior elbow dislocation with associated vascular injury after blunt trauma. J Trauma 1999;46:948-50.  Back to cited text no. 2  [PUBMED]  [FULLTEXT]  

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Correspondence Address:
Karun Jain
Department of Orthopaedics, JSS Medical College and Hospital, Mysore - 570 004
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.66560

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