Brachial artery transection caused by closed elbow dislocation in a mature in-line skater: a case report with review of the literature.

Abstract

Regarding skating injuries, isolated cases of closed elbow dislocations are reported only for children or teenage patients. Due to the anatomic proximity of neurovascular structures, elbow dislocations run the risk of concomitant injury, but its occurrence remains very rare. We describe the case of an advanced mature in-line skater with a complete disruption of the brachial artery caused by a closed elbow dislocation. The patient underwent emergency repair of the arterial injury with an autologous saphenous vein bypass. One year after surgery, the patient recovered without any complaints and has returned to all activities of daily living as well as sporting activities. This case should sensitize the readers for concomitant vascular lesions when confronted with elbow dislocations. The mechanism of closed elbow dislocation in relation to skating sports is discussed with the current literature. We hold the view that accurate clinical assessment by orthopedic and vascular surgeons is absolutely necessary and immediate operative approach is the only acceptable treatment.