{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:31:23Z","timestamp":1787754683489,"version":"build-2784847793"},"reference-count":12,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JBJS Case Connector"],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A 57-year-old man presented with bilateral proximal humeral fracture-dislocation and an associated axillary artery injury. He was treated urgently with reduction, arterial repair, fasciotomies, and skeletal stabilization. The patient sustained a massive intraoperative hemorrhage from an unrecognized axillary vein injury after the arterial repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>An unrecognized axillary vein injury led to substantial blood loss that required a massive transfusion protocol. Although an axillary arterial injury is readily identified with computed tomography angiography, concomitant venous injuries may go unrecognized. The surgical team, including the vascular and orthopaedic surgeons and the anesthesiologists, should be prepared to manage a life-threatening hemorrhage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.17.00156","type":"journal-article","created":{"date-parts":[[2018,5,23]],"date-time":"2018-05-23T14:31:35Z","timestamp":1527085895000},"page":"e33-e33","source":"Crossref","is-referenced-by-count":5,"title":["Life-Threatening Hemorrhage from an Unrecognized Axillary Vein Injury During Treatment of a Proximal Humeral Fracture-Dislocation with a Known Axillary Artery Injury"],"prefix":"10.2106","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2435-0705","authenticated-orcid":false,"given":"Michael","family":"Githens","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Harborview Medical Center, University of Washington School of Medicine, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2018,6]]},"reference":[{"issue":"7","key":"bib1-20230712","doi-asserted-by":"crossref","first-page":"1367","DOI":"10.1016\/j.injury.2015.04.026","article-title":"Proximal humerus fracture with injury to the axillary artery: a population-based study","volume":"46","author":"Menendez","year":"2015","journal-title":"Injury."},{"issue":"1","key":"bib2-20230712","first-page":"52","article-title":"Axillary artery injury associated with proximal humerus fracture: a report of 6 cases","volume":"5","author":"Peters","year":"2017","journal-title":"Arch Bone Jt Surg."},{"key":"bib3-20230712","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1016\/j.avsg.2015.10.038","article-title":"Axillary artery injury associated with proximal humeral fractures: review of long-term vascular, orthopedic, and neurologic 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Surg."},{"issue":"2","key":"bib7-20230712","doi-asserted-by":"crossref","first-page":"154","DOI":"10.1016\/S0735-6757(98)90034-1","article-title":"Axillary artery injuries after proximal fracture of the humerus","volume":"16","author":"Byrd","year":"1998","journal-title":"Am J Emerg Med."},{"issue":"11","key":"bib8-20230712","doi-asserted-by":"crossref","first-page":"1521","DOI":"10.1302\/0301-620X.88B11.18164","article-title":"Fracture of the proximal humerus with injury to the axillary artery in a boy aged 13 years","volume":"88","author":"Wera","year":"2006","journal-title":"J Bone Joint Surg Br."},{"issue":"9","key":"bib9-20230712","first-page":"462","article-title":"Brachial artery injury with a proximal humerus fracture in a 10-year-old girl","volume":"38","author":"Hasan","year":"2009","journal-title":"Am J Orthop (Belle Mead NJ)."},{"issue":"3","key":"bib10-20230712","doi-asserted-by":"crossref","DOI":"10.3928\/01477447-20100129-29","article-title":"Life-threatening posterior circumflex humeral artery injury secondary to fracture-dislocation of the proximal humerus","volume":"33","author":"Gorthi","year":"2010","journal-title":"Orthopedics."},{"key":"bib11-20230712","first-page":"430583","article-title":"Axillary artery injury caused by fracture of humerus neck and its repair using basilic vein graft","volume":"2014","author":"Goyal","year":"2014","journal-title":"Case Rep Surg."},{"issue":"4","key":"bib12-20230712","doi-asserted-by":"crossref","first-page":"754","DOI":"10.1097\/00005373-199610000-00028","article-title":"Arterial injury of the axilla: an unusual case after blunt trauma of the shoulder","volume":"41","author":"Adovasio","year":"1996","journal-title":"J Trauma."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/01709767-201806000-00013","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:31:00Z","timestamp":1787751060000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/01709767-201806000-00013"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2018,5,23]]},"references-count":12,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.17.00156","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5,23]]}}}