Vascular injuries in the upper extremity in athletes

Tristan de Mooij, Audra A. Duncan, Sanjeev Kakar

Research output: Contribution to journalReview article

12 Scopus citations

Abstract

Repetitive, high-stress, or high-impact arm motions can cause upper extremity arterial injuries. The increased functional range of the upper extremity causes increased stresses on the vascular structures. Muscle hypertrophy and fatigue-induced joint translation may incite impingement on critical neurovasculature and can cause vascular damage. A thorough evaluation is essential to establish the diagnosis in a timely fashion as presentation mimics more common musculoskeletal injuries. Conservative treatment includes equipment modification, motion analysis and adjustment, as well as equipment enhancement to limit exposure to blunt trauma or impingement. Surgical options include ligation, primary end-to-end anastomosis for small defects, and grafting.

Original languageEnglish (US)
Pages (from-to)39-52
Number of pages14
JournalHand Clinics
Volume31
Issue number1
DOIs
StatePublished - Feb 1 2015

Keywords

  • Athlete
  • Digital ischemia
  • Hypothenar hammer syndrome
  • Posterior humeral circumflex injuries
  • Quadrilateral space syndrome
  • Thoracic outlet syndrome
  • Upper extremity
  • Vascular injury

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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