Complete Brachial Artery Transection following closed Posterior Elbow Dislocation: A Rare Case Report.
BACKGROUND
Vascular injury associated withclosed posterior elbow dislocations is rare and it usually occurs along with open dislocation, anterior dislocation, penetrating injuries, dislocations associated with fracture. We report such a case of closed posterior elbow dislocation with complete brachial artery rupture.


METHODS
A 58 years old lady sustained posterior dislocation of right elbow following a fall at home. She presented three days later with complaints of severe pain, swelling around the right elbow and numbness of fingers following a closed reduction done elsewhere. Computed graft angiography showed complete transection of brachialartery. Patient was treated with thrombectomy, right great saphenous vein graft interposition repair of brachial artery and forearm fasciotomy.


CONCLUSIONS
Vascular injuries associated with posterior elbow dislocation are very rare, but high index of suspicion of arterial injury need to be thought off and repeated vascular examination during pre and post reduction stage should be done to prevent complications.
Department of Orthopaedic surgery, St. Martha's Hospital, Bangalore. India.
JayanthKumar B
JB
C
Department of Orthopaedic surgery, St. Martha's Hospital, Bangalore. India.
Deepak
D
Sampath
Department of Orthopaedic surgery, St. Martha's Hospital, Bangalore. India.
Hanumantha Reddy
HR
N
Department of Orthopaedic surgery, St. Martha's Hospital, Bangalore. India.
Vishnu
V
Motukuru
Posterior elbow dislocation; brachial artery transection; compartment syndrome