Abstract

BackgroundTo our knowledge there are no cases in the literature of traumatic vascular injury of the brachial artery by elbow hyperextension without elbow dislocation based on either clinical or radiological evidence.Case presentationWe present the first case of complete brachial artery rupture resulting from a hyperextension injury to an elbow, without dislocation. The history, early assessment and operative treatment with figures are presented.ConclusionWe advocate prompt clinical assessment by orthopaedic and vascular teams and early surgical exploration and repair.

Highlights

  • To our knowledge there are no cases in the literature of traumatic vascular injury of the brachial artery by elbow hyperextension without elbow dislocation based on either clinical or radiological evidence.Case presentation: We present the first case of complete brachial artery rupture resulting from a hyperextension injury to an elbow, without dislocation

  • We present a case of elbow hyperextension leading to traumatic brachial artery rupture and believe this to be the first case of a brachial artery rupture following a hyperextension injury but without fracture or dislocation

  • No evidence exists in the literature of complete brachial artery injury without either open or closed elbow dislocation

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Summary

Introduction

To our knowledge there are no cases in the literature of traumatic vascular injury of the brachial artery by elbow hyperextension without elbow dislocation based on either clinical or radiological evidence.Case presentation: We present the first case of complete brachial artery rupture resulting from a hyperextension injury to an elbow, without dislocation. Conclusion: We advocate prompt clinical assessment by orthopaedic and vascular teams and early surgical exploration and repair. Brachial artery rupture is a recognised complication of closed and open traumatic elbow dislocation and there are many case reports and short series in the literature[1]. We present a case of elbow hyperextension leading to traumatic brachial artery rupture and believe this to be the first case of a brachial artery rupture following a hyperextension injury but without fracture or dislocation.

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