title: Complete femoral artery and vein avulsion from a hyperextension injury: a case report and literature review.
abstract: Blunt peripheral extremity vascular injuries are much less frequent than those of penetrating injuries, especially in the absence of significant musculoskeletal trauma. We present an unusual case of complete femoral artery and vein avulsion that resulted from a forced hip hyperextension and thigh abduction after slipping when a patient's foot became entrapped in a ladder. The patient presented with an acutely ischemic right lower extremity 8 hr postinjury, which necessitated immediate surgical exploration, temporary intravascular shunting, interposition grafting, and prophylactic fasciotomy. To our knowledge, this is the first such mechanism to be reported resulting in complete transection of both femoral artery and vein. We review the mechanism of injury and management.
authors.affiliation: Department of Surgery, University of California, San Diego School of Medicine, UCSD Medical Center, San Diego, CA 92103-8896, USA.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Suliman
authors.forename: Mir Wasif
authors.initials: MW
authors.lastname: Ali
authors.forename: Nikhil
authors.initials: N
authors.lastname: Kansal
authors.forename: Ying
authors.initials: Y
authors.lastname: Tian
authors.forename: Niren
authors.initials: N
authors.lastname: Angle
authors.forename: Raul
authors.initials: R
authors.lastname: Coimbra
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D002675:Child, Preschool; D000071938:Fasciotomy; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005268:Femoral Vein / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D006801:Humans; D007511:Ischemia / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009140:Musculoskeletal Diseases / Q000150:complications*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D055815:Young Adult