Luksacija ramena s ozljedom aksilarne arterije u četrnaestogodišnjeg dječaka: prikaz bolesnika.

Injury of axillary artery due to shoulder dislocation in a fourteen-year-old boy: case report.

Traumatic shoulder dislocations are common in adults but rarely occur in children before adolescence. Concomitant injuries of the axillary artery are extremely rare. We report on a case of a 14-year-old boy with anterior shoulder dislocation and signs of vascular compromise of the injured arm. Following initial workup, shoulder reposition was performed under general anesthesia. Radial pulse was absent before, during and after reposition. We performed color-doppler and multislice computed tomography angiography. In our report, we present diagnostic workup and surgical treatment of the axillary artery injury. On control examination one year after the accident, the patient had normal neurovascular status of both arms. [ABSTRACT FROM AUTHOR]

Traumatske luksacije ramena u odraslih imaju visoku pojavnost, no u djece prije završetka puberteta nastanu tek sporadično. Ozljede aksilarne arterije u djece s luksacijom ramena izuzetno su rijetke. U radu je prikazan slučaj četrnaestogodišnjeg dječaka s prednjom luksacijom ramena i znakovima vaskularne insufi cijencije ozlijeđene ruke. Odmah nakon inicijalne obrade u općoj anesteziji obavljena je repozicija luksiranog ramena. Izostanak pulzacija radijalne arterije bio je očit prije, za i nakon repozicije. U daljnjem tijeku učinjeni su dopler ultrazvučni pregled arterija i višeslojna računalna tomografska angiografi ja ozlijeđene ruke. U članku je opisan tijek dijagnostičke obrade i liječenja, s naglaskom na kirurško zbrinjavanje ozljede aksilarne arterije. Na kontrolnom pregledu godinu dana nakon ozljede dječak ima simetričan, uredan neurovaskularni status obje ruke. [ABSTRACT FROM AUTHOR]

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