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Acute-on-Chronic Axillary Artery Thrombus After Reverse Total Shoulder Arthroplasty for Failed Proximal Humerus Open Reduction and Internal Fixation: A Case Report.
Hoffman, Ryan A; Covarrubias, Oscar; Green, Andrew; Paxton, E Scott.
Afiliación
  • Hoffman RA; Division of Shoulder and Elbow Surgery, Department of Orthopaedic Surgery, Alpert Medical School, Brown University, Providence, Rhode Island.
JBJS Case Connect ; 14(2)2024 Apr 01.
Article en En | MEDLINE | ID: mdl-38728442
ABSTRACT
CASE A 71-year-old woman presented with post-traumatic arthritis 11 months after open reduction and internal fixation for a left proximal humerus fracture (PHF) dislocation. After revision to reverse total shoulder arthroplasty (rTSA), the patient's left upper extremity was found to be avascular. An emergent thrombectomy was performed with restoration of arterial flow after removal of an acute-on-chronic axillary artery thrombus.

CONCLUSION:

Although rare, as rTSA becomes more common for management of PHF, incidence of associated vascular injuries is likely to rise. Screening methods and clinical vigilance in diagnosis are advised for patients with anterior PHF dislocations and arterial injury risk factors.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas del Hombro / Arteria Axilar / Trombosis / Artroplastía de Reemplazo de Hombro Límite: Aged / Female / Humans Idioma: En Revista: JBJS Case Connect Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Fracturas del Hombro / Arteria Axilar / Trombosis / Artroplastía de Reemplazo de Hombro Límite: Aged / Female / Humans Idioma: En Revista: JBJS Case Connect Año: 2024 Tipo del documento: Article Pais de publicación: Estados Unidos