Abstract
BackgroundTraumatic femoral artery occlusion caused by blunt impact to the groin is rare; this condition is called the “motor-scooter handlebar syndrome.” We herein report a case of traumatic femoral artery occlusion and performed a literature review on its diagnosis and treatment.Case presentationAn 18-year-old man visited our hospital complaining of pain and swelling in his right groin and numbness in his right leg after a bicycle collision accident. Contrast computed tomography revealed an occlusion extending from the right external iliac artery to the common femoral artery. The right ankle–brachial index (ABI) was 0.50. We performed thrombectomy and femoral artery repair with a saphenous vein patch. The postoperative course was good, and the right ABI improved to 1.05.ConclusionsMotor-scooter handlebar syndrome is a rare complication of traumatic injury. The presence of vascular injury should be considered in patients with groin or lower abdomen injuries following an impact with handlebars or similar hard objects. This injury often needs surgical treatment; therefore, prompt diagnosis is the key to successful treatment.
Highlights
Traumatic femoral artery occlusion caused by blunt impact to the groin is rare; this condition is called the “motor-scooter handlebar syndrome.” We report a case of traumatic femoral artery occlusion and performed a literature review on its diagnosis and treatment.Case presentation: An 18-year-old man visited our hospital complaining of pain and swelling in his right groin and numbness in his right leg after a bicycle collision accident
Bone fractures caused by blunt trauma may be accompanied by vascular injury, and arterial occlusion may develop
Contrast computed tomography (CT) for the evaluation of bone fracture or active bleeding revealed vascular occlusion extending from the right external iliac artery (EIA) to the common femoral artery (CFA) (Fig. 1)
Summary
Motor-scooter handlebar syndrome is a rare complication of traumatic injury that causes claudication and even limb length discrepancies of the lower limbs in growing children. The presence of vascular injury should be considered when patients have groin or lower abdomen injuries following impact with handlebars or similar hard objects. Surgical revascularization is important to save the ischemic limb. Surgery should be planned considering the age of the patient, preoperative imaging, and intraoperative findings
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