Sequential injury: Delayed-onset axillary artery thrombosis following brachial plexus paralysis from a traumatic shoulder injury

The association of brachial plexus nerve injury with arterial involvement in the context of shoulder trauma is well documented in the literature. However, the clinical presentation can vary significantly from case to case. In severe trauma cases, there may be a simultaneous occurrence of both types...

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Main Authors: Amine El Farhaoui, Sohayb Darraz, Brahim Zeryouh, Yassine Batou, Adnane Lachkar, Najib Abdeljaouad, Hicham Yacoubi
Format: Article
Language:English
Published: Elsevier 2025-04-01
Series:Radiology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324014079
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author Amine El Farhaoui
Sohayb Darraz
Brahim Zeryouh
Yassine Batou
Adnane Lachkar
Najib Abdeljaouad
Hicham Yacoubi
author_facet Amine El Farhaoui
Sohayb Darraz
Brahim Zeryouh
Yassine Batou
Adnane Lachkar
Najib Abdeljaouad
Hicham Yacoubi
author_sort Amine El Farhaoui
collection DOAJ
description The association of brachial plexus nerve injury with arterial involvement in the context of shoulder trauma is well documented in the literature. However, the clinical presentation can vary significantly from case to case. In severe trauma cases, there may be a simultaneous occurrence of both types of injuries. An arterial injury can lead to the formation of a hematoma, causing compression of the nerves that innervate the upper limb. Additionally, avulsion or stretching of the roots of the brachial plexus may also generate a peri‑arterial hematoma, which can result in arterial thrombosis. These complex mechanisms underscore the importance of a multidisciplinary assessment in the management of these patients.
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publisher Elsevier
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spelling doaj-art-ad713b5eff2a4aa1a78cb519eb5eba872025-08-20T01:57:52ZengElsevierRadiology Case Reports1930-04332025-04-012041802180610.1016/j.radcr.2024.12.045Sequential injury: Delayed-onset axillary artery thrombosis following brachial plexus paralysis from a traumatic shoulder injuryAmine El Farhaoui0Sohayb Darraz1Brahim Zeryouh2Yassine Batou3Adnane Lachkar4Najib Abdeljaouad5Hicham Yacoubi6Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, Morocco; Corresponding author.Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, MoroccoFaculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, Morocco; Department of Traumatology, orthopedic Mohammed VI University Hospital Mohammed I University Oujda, MoroccoThe association of brachial plexus nerve injury with arterial involvement in the context of shoulder trauma is well documented in the literature. However, the clinical presentation can vary significantly from case to case. In severe trauma cases, there may be a simultaneous occurrence of both types of injuries. An arterial injury can lead to the formation of a hematoma, causing compression of the nerves that innervate the upper limb. Additionally, avulsion or stretching of the roots of the brachial plexus may also generate a peri‑arterial hematoma, which can result in arterial thrombosis. These complex mechanisms underscore the importance of a multidisciplinary assessment in the management of these patients.http://www.sciencedirect.com/science/article/pii/S1930043324014079Axillary artery thrombosisBrachial plexus paralysisDual injury
spellingShingle Amine El Farhaoui
Sohayb Darraz
Brahim Zeryouh
Yassine Batou
Adnane Lachkar
Najib Abdeljaouad
Hicham Yacoubi
Sequential injury: Delayed-onset axillary artery thrombosis following brachial plexus paralysis from a traumatic shoulder injury
Radiology Case Reports
Axillary artery thrombosis
Brachial plexus paralysis
Dual injury
title Sequential injury: Delayed-onset axillary artery thrombosis following brachial plexus paralysis from a traumatic shoulder injury
title_full Sequential injury: Delayed-onset axillary artery thrombosis following brachial plexus paralysis from a traumatic shoulder injury
title_fullStr Sequential injury: Delayed-onset axillary artery thrombosis following brachial plexus paralysis from a traumatic shoulder injury
title_full_unstemmed Sequential injury: Delayed-onset axillary artery thrombosis following brachial plexus paralysis from a traumatic shoulder injury
title_short Sequential injury: Delayed-onset axillary artery thrombosis following brachial plexus paralysis from a traumatic shoulder injury
title_sort sequential injury delayed onset axillary artery thrombosis following brachial plexus paralysis from a traumatic shoulder injury
topic Axillary artery thrombosis
Brachial plexus paralysis
Dual injury
url http://www.sciencedirect.com/science/article/pii/S1930043324014079
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