{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:46:17Z","timestamp":1787755577950,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","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 69-year-old woman presented with a brachial artery pseudoaneurysm causing median, ulnar, and radial nerve compressive neuropathies 8 weeks after a proximal humerus shaft fracture treated with intramedullary nailing. She underwent a brachial artery bypass with a reverse cephalic vein interposition graft and neurolysis after decompression of a large pseudoaneurysm. Postoperatively, the patient had a normal vascular examination with recovering neurological function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A high index of suspicion for a brachial artery pseudoaneurysm should be maintained in patients with a displaced proximal humerus shaft fracture, particularly when an abnormal neurovascular examination is present.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00131","type":"journal-article","created":{"date-parts":[[2020,3,1]],"date-time":"2020-03-01T22:06:27Z","timestamp":1583100387000},"page":"e0131-e0131","source":"Crossref","is-referenced-by-count":2,"title":["Acute Presentation of a Pseudoaneurysm After a Proximal Humerus Shaft Fracture"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5328-4359","authenticated-orcid":false,"given":"Givenchy","family":"Manzano","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center\/Case Western Reserve University School of Medicine, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1134-3098","authenticated-orcid":false,"given":"Corina","family":"Brown","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center\/Case Western Reserve University School of Medicine, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5241-4916","authenticated-orcid":false,"given":"Karem","family":"Harth","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery and Endovascular Therapy, University Hospitals Cleveland Medical Center\/Case Western Reserve University School of Medicine, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1298-4751","authenticated-orcid":false,"given":"George","family":"Ochenjele","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, University Hospitals Cleveland Medical Center\/Case Western Reserve University School of Medicine, Cleveland, Ohio"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"4","key":"bib1-20230720","first-page":"293","article-title":"Post-traumatic pseudoaneurysm of the brachial artery and its surgical treatment","volume":"30","author":"Yetkin","year":"2003","journal-title":"Tex Heart Inst J."},{"key":"bib2-20230720","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2012-007706","article-title":"Flail upper limb due to delayed presentation of a traumatic brachial artery pseudoaneurysm","author":"Kaczynski","year":"2013","journal-title":"BMJ Case Rep."},{"key":"bib3-20230720","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2014-203924","article-title":"Brachial artery pseudoaneurysm","author":"Kemp","year":"2014","journal-title":"BMJ Case Rep."},{"issue":"1","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1177\/1538574407306795","article-title":"Pseudoaneurysm of the brachial artery following humeral fracture","volume":"42","author":"Moran","year":"2008","journal-title":"Vasc Endovascular Surg."},{"issue":"5","key":"bib5-20230720","first-page":"515","article-title":"Delayed presentation of a traumatic brachial artery pseudoaneurysm","volume":"15","author":"Forde","year":"2009","journal-title":"Ulus Travma Acil Cerrahi Derg."},{"issue":"2","key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"105","DOI":"10.4103\/0256-4947.51797","article-title":"Management of traumatic brachial artery injuries: a report on 49 patients","volume":"29","author":"Ekim","year":"2009","journal-title":"Ann Saudi Med."},{"issue":"1","key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1186\/1754-9493-7-34","article-title":"Complication rates and outcomes stratified by treatment modalities in proximal humeral fractures: a systematic literature review from 1970-2009","volume":"7","author":"Tepass","year":"2013","journal-title":"Patient Saf Surg."},{"issue":"4","key":"bib8-20230720","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1007\/s12178-011-9094-7","article-title":"Proximal humeral fractures","volume":"4","author":"Mauro","year":"2011","journal-title":"Curr Rev Musculoskelet Med."},{"issue":"6","key":"bib9-20230720","first-page":"371","article-title":"Iatrogenic brachial artery injury during anterolateral plating of humeral shaft fracture","volume":"16","author":"Kumar","year":"2013","journal-title":"Chin J Traumatol."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00131","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:45:17Z","timestamp":1787751917000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00131"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":9,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00131","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}