Case report of an acute arterial obstruction in the upper limb secondary to thrombosis of the axillary artery caused by chronic use of crutches. The authors make a brief review of the literature and discuss it in relation to the present case.
axillary artery; thrombosis; crutches
| Reference | Case | Time from onset of ischemic symptoms to admission and prior presence/absence of the symptom pain during effort |
|---|---|---|
| Brooks AL et al.11. Brooks AL, Fowler SB. Axillary artery thrombosis after prolonged use of crutches. J Bone Joint Surg Am. 1964;46:863-4. PMid:14162522. | Case 1 | 5 days |
| Case 2 | 3 months + pain during effort | |
| Case 3 | 3 weeks | |
| Aboot WM et al.22. Abbott WM, Darling RC. Axillary artery aneurysms secondary to crutch trauma. Am J Surg. 1973;125(4):515-20. http://dx.doi.org/10.1016/0002-9610(73)90092-5. PMid:4693046 http://dx.doi.org/10.1016/0002-9610(73)9... |
Case 1 | 18 hours |
| Case 2 | 6 months + pain during effort | |
| Case 3 | 18 hours + pain during effort | |
| Case 4 | Not described | |
| Case 5 | 2 days | |
| Case 6 | 1 day | |
| Case 7 | Not described | |
| De Luccia N et al.33. Luccia N, Albers MT, Wolosker M. Axillary artery aneurysm due to the use of crutches. Rev Paul Med. 1979;94(3-4):87-9. PMid:549197. | Case 1 | 8 hours |
| Achramek A et al.44. Schramek A, Hashmonai M, Abrahamson J. Axillary artery thrombosis due to crutch trauma. Angiology. 1974;25(7):467-9. http://dx.doi.org/10.1177/000331977402500707. PMid:4843182 http://dx.doi.org/10.1177/00033197740250... |
Case 1 | 6 hours |
| Case 2 | 2 weeks | |
| Ettien J T55. Ettien JT. Crutch-induced aneurysms of the axillary artery. Am Surg. 1980;46(4):267-9. PMid:7386992. | Case 1 | 3 days |
| McFall B et al.66. McFall B, Arya N, Soong C, Lee B, Hannon R. Crutch induced axillary artery injury. Ulter Med J. 2004;73:50-2 | Case 1 | Not described |
| Konishi T et al.77. Konishi T, Ohki S, Saito T, Misawa Y. Crutch-induced bilateral brachial artery aneurysms. Interact Cardiovasc Thorac Surg. 2009;9(6):1038-9. http://dx.doi.org/10.1510/icvts.2009.219832. PMid:19783546 http://dx.doi.org/10.1510/icvts.2009.219... |
Case 1 | 3 days |
| Moon I S et al.88. Moon IS, Hwang JK, Kim JI. Recurrent upper extremity embolism due to a crutch-induced arterial injury: a different cause of upper extremity embolism. Ann Vasc Surg. 2010;24(4):554.e7-12. http://dx.doi.org/10.1016/j.avsg.2009.11.005. PMid:20097518 http://dx.doi.org/10.1016/j.avsg.2009.11... |
Case 1 | 7 years - 8 hours |
| Case 2 | 7 months + pain during effort | |
| Furukawa K et al.99. Furukawa K, Hayase T, Yano M. Recurrent upper limb ischaemia due to a crutch-induced brachial artery aneurysm. Interact Cardiovasc Thorac Surg. 2013;17(1):190-2. http://dx.doi.org/10.1093/icvts/ivt121. PMid:23529749 http://dx.doi.org/10.1093/icvts/ivt121... |
Case 1 | 5 years + pain during effort |
| The present report | Case | 4 days |
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