title: Axillary artery transection and bilateral pulmonary embolism after anterior shoulder dislocation: case report.
abstract: BACKGROUND
  Anterior shoulder dislocation can be associated with vascular and neurological complications. However, axillary artery injury associated with shoulder dislocation is rare and extremely rare without bone fracture. An early diagnosis of these complications allows predicting long-term functional outcomes.
  
  
  METHODS
  This article reports the case of a 66-year-old patient who presented an anterior shoulder dislocation after a ski fall without any neurological dysfunction or pulse deficit.
  
  
  RESULTS
  The first reduction attempts were unsuccessful and during the new attempt, we observed a hematoma. A CT scan showed a disruption of the axillary artery and a bilateral pulmonary embolism.
  
  
  CONCLUSIONS
  Neurovascular injury must be systematically sought before and after reduction, and a multidisciplinary approach is always necessary.
authors.affiliation: Vascular Surgery Unit, University Hospital of Besançon, 25030 Besançon, France.
authors.forename: Betty
authors.initials: B
authors.lastname: Leclerc
authors.affiliation: Orthopaedic, Traumatology and Hand Surgery Unit, University Hospital of Besançon, 25030 Besançon, France.
authors.forename: François
authors.initials: F
authors.lastname: Loisel
authors.affiliation: Orthopaedic, Traumatology and Hand Surgery Unit, University Hospital of Besançon, 25030 Besançon, France.
authors.forename: Maxime
authors.initials: M
authors.lastname: Ferrier
authors.affiliation: Vascular Surgery Unit, University Hospital of Besançon, 25030 Besançon, France.
authors.forename: Mazen
authors.initials: M
authors.lastname: Al Sayed
authors.affiliation: Vascular Surgery Unit, University Hospital of Besançon, 25030 Besançon, France.
authors.forename: Simon
authors.initials: S
authors.lastname: Rinckenbach
authors.affiliation: Orthopaedic, Traumatology and Hand Surgery Unit, University Hospital of Besançon, 25030 Besançon, France.
authors.forename: Laurent
authors.initials: L
authors.lastname: Obert