2023 Volume 32 Issue 2 Pages 83-86
The incidence of axillary artery injury associated with shoulder joint dislocation is extremely rare at approximately 1–2%, and it usually occurs in people aged older than 50 years. Our patient was an 83-year-old woman. The artery in her right upper extremity could not be palpated immediately after reduction of her dislocated right shoulder joint due to a fall. Therefore, acute arterial occlusion with arterial injury was suspected, and the patient was transferred to our hospital. Emergency surgery was performed upon confirming that the axillary artery in the right shoulder joint was occluded, as observed on contrast computed tomography scans. In the right axillary artery injury site, the intima was completely severed, and the adventitia was stretched and thinned. After dissecting the injury site and removing the thrombus, the stump was trimmed and reconstructed with a direct continuous end-to-end anastomosis. Immediately after the surgery, the right radial artery became palpable. The patient showed good recovery and was discharged to her home 10 days after surgery. Herein, we report and discuss this rare case that we encountered.
