Short communication, Note

Complications of recent luxations in glenohumeral joint – case report

Ivan Kirin ; Clinics for surgery, Clinical hospital centre Rijeka, Croatia
Koraljka Juretić Franković ; Clinics for surgery, Clinical hospital centre Rijeka, Croatia
Miljenko Kovačević ; Clinics for surgery, Clinical hospital centre Rijeka, Croatia
Grgo Martinović ; Clinics for surgery, Clinical hospital centre Rijeka, Croatia
Davor Primc ; Clinics for surgery, Clinical hospital centre Rijeka, Croatia

Abstract

Aim: Complications of recent luxations are fractures, ruptures of rotator cuff,
nerve and vascular lesions. Vascular lesions (a. axillaris, v. axillaris, branch of axillary artery
– a. circumflexa anterior and posterior, a. subscapularis) can occur during luxation or attempt
of reposition. Case report: A 68-year-old man fell and injured the shoulder. We have
verified shoulder fracture with luxation, avulsion of posterior circumflex artery and thrombosis
of axillary artery. Reconstruction included partial resection of artery, graft-interpositum
using v. saphena magna and sutures of ruptured part of a. circumflexa posterior. Afterwards,
osteosynthesis with phylos plate and screws was performed. Discussion and
conclusion: After clinical predicament of shoulder luxation or fractures, we suggest defining
of vascular and neurological status of the arm. When there is suspicion of vascular injury,
MSCT angiography is recommended.

Keywords

fracture; luxation; vascular lesions

Hrčak ID:

66099

URI

https://hrcak.srce.hr/66099

Publication date:

7.3.2011.

Article data in other languages: croatian

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