Management of traumatic brachial artery dissection associated with posterior elbow dislocation using balloon angioplasty: A case report

Abstract

Background: Traumatic brachial artery injuries accompanying elbow dislocations are uncommon but can lead to significant morbidity if not promptly recognized and managed. We report a case of traumatic brachial artery dissection associated with a posterior elbow dislocation following a trivial fall, successfully managed using balloon angioplasty. Case report: A 41-year-old male presented to the emergency department with a posterior dislocation of the left elbow following a minor fall. Physical examination revealed absent distal pulses and early signs of acute ischemia in the hand. Urgent vascular assessment confirmed a traumatic brachial artery injury. Emergent peripheral angiography demonstrating an arterial dissection. The injury was successfully treated with balloon angioplasty, restoring normal arterial flow. Conclusion: Balloon angioplasty is a viable option for managing traumatic brachial artery injuries associated with elbow dislocations, particularly in cases where the injury is amenable to endovascular intervention. This approach offers the advantage of reduced morbidity and shorter recovery times compared to traditional surgical repair. However, careful patient selection and close collaboration between orthopaedic and vascular specialists are essential for optimal outcomes.

Keywords

• Vascular trauma
• Dislocation
• Angioplasty
• Upper limb