Determinates of functional disability after complex upper extremity trauma. Ann Vasc Surg 2001 Jan;15(1):43-8
Date
02/28/2001Pubmed ID
11221943DOI
10.1007/s100160010016Scopus ID
2-s2.0-0035143892 (requires institutional sign-in at Scopus site) 35 CitationsAbstract
This is a retrospective chart review of 71 patients who were operated on for presumed upper extremity arterial trauma between June 1992 and June 1998. Penetrating trauma occurred in 50 (70%) patients, and blunt trauma in 21 (30%). There were 2 innominate, 6 subclavian, 13 axillary, 26 brachial, 5 radial, 6 ulnar, and 6 multiple arterial injuries. There were 7 negative explorations (4 venous injuries, 2 false-positive angiograms, and 1 branch artery injury). In addition to the vascular injury, 44 patients (69%) had another injury in the extremity, including 8 (12.5%) orthopedic injuries, 12 (19%) nerve injuries, and 24 (37.5%) combination nerve and orthopedic injuries. There were three arterial thromboses, one arterial disruption, and four amputations, resulting in a patency rate and limb salvage rate of 94%. Persistent disability was more common in those patients with blunt injury (p = 0.02) and in those patients with associated neurologic and orthopedic injuries (p < 0.05). Full functional recovery was seen in 21 (33%) patients, while some form of disability was noted in the remaining 67%. The magnitude of the concomitant neurologic injury was the major determinate of functional outcome in this patient population.
Author List
Brown KR, Jean-Claude J, Seabrook GR, Towne JB, Cambria RAAuthor
Kellie R. Brown MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
AdolescentAdult
Aged
Arm
Arm Injuries
Blood Vessels
Disability Evaluation
Female
Follow-Up Studies
Humans
Male
Middle Aged
Musculoskeletal System
Peripheral Nerve Injuries
Peripheral Nerves
Recovery of Function
Retrospective Studies
Treatment Outcome
Vascular Surgical Procedures
