Medicina, Vol. 47 No. 1, 2011.
Kratko priopćenje
Complications of recent luxations in glenohumeral joint – case report
Ivan Kirin
; Klinika za kirurgiju, KBC Rijeka
Koraljka Juretić Franković
; Klinika za kirurgiju, KBC Rijeka
Miljenko Kovačević
; Klinika za kirurgiju, KBC Rijeka
Grgo Martinović
; Klinika za kirurgiju, KBC Rijeka
Davor Primc
; Klinika za kirurgiju, KBC Rijeka
Sažetak
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.
Ključne riječi
fracture; luxation; vascular lesions
Hrčak ID:
66099
URI
Datum izdavanja:
7.3.2011.
Posjeta: 3.100 *