{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:09Z","timestamp":1787755509309,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>(1) A 69-year-old man sustained a proximal humeral fracture-dislocation. During emergency surgery, copious bleeding occurred. A pseudoaneurysm was identified 30 days postoperatively. (2) A 69-year-old man sustained a proximal humeral fracture and axillary artery injury. Physical examination demonstrated a cold but pink hand. Hemiarthroplasty and bypass vein grafting were performed. (3) An 86-year-old woman sustained a proximal humeral fracture and axillary artery injury. Her hand had turned cold and pale. Reverse shoulder arthroplasty and bypass vein grafting were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>In cases of proximal humeral fractures with significant displacement, concomitant axillary artery injury must be assessed and if there is a high index of suspicion, prompt advanced imaging is necessary.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.24.00006","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T14:50:05Z","timestamp":1723733405000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":7,"title":["Axillary Artery Injury Associated with Dislocated or Displaced Proximal Humeral Fracture"],"prefix":"10.2106","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6766-5512","authenticated-orcid":false,"given":"Sadaki","family":"Mitsuzawa","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9380-1146","authenticated-orcid":false,"given":"Shinnosuke","family":"Yamashita","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-8615-8308","authenticated-orcid":false,"given":"Yoshihiro","family":"Tsukamoto","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1126-4135","authenticated-orcid":false,"given":"Hisataka","family":"Takeuchi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7042-4293","authenticated-orcid":false,"given":"Satoshi","family":"Ota","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9936-555X","authenticated-orcid":false,"given":"Eijiro","family":"Onishi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0846-9300","authenticated-orcid":false,"given":"Tadashi","family":"Yasuda","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Kobe City Medical Center General Hospital, Kobe, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,7]]},"reference":[{"issue":"2","key":"bib1-20240815","doi-asserted-by":"crossref","first-page":"e33","DOI":"10.2106\/JBJS.CC.17.00156","article-title":"Life-threatening hemorrhage from an unrecognized axillary vein injury during treatment of a proximal humeral fracture-dislocation with a known axillary artery injury: a case report","volume":"8","author":"Githens","year":"2018","journal-title":"JBJS Case Connect."},{"issue":"11","key":"bib2-20240815","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1097\/BOT.0000000000000114","article-title":"Proximal humerus fractures with associated axillary artery injury","volume":"28","author":"Thorsness","year":"2014","journal-title":"J Orthop Trauma."},{"issue":"1","key":"bib3-20240815","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."},{"issue":"2","key":"bib4-20240815","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1177\/153857440403800210","article-title":"Axillary artery injury from humeral neck fracture: a rare but disabling traumatic event","volume":"38","author":"Yagubyan","year":"2004","journal-title":"Vasc endovascular Surg."},{"issue":"7","key":"bib5-20240815","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":"3","key":"bib6-20240815","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1097\/00063110-200506000-00005","article-title":"Rupture of axillary artery and neuropraxis as complications of recurrent traumatic shoulder dislocation: case report","volume":"12","author":"Allie","year":"2005","journal-title":"Eur J Emerg Med."},{"issue":"9","key":"bib8-20240815","doi-asserted-by":"crossref","first-page":"771","DOI":"10.1016\/S0020-1383(02)00091-8","article-title":"Shoulder disarticulation: a sequel of vascular injury secondary to a proximal humeral fracture","volume":"33","author":"Syed","year":"2002","journal-title":"Injury."},{"issue":"2","key":"bib9-20240815","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1177\/230949900801600223","article-title":"Axillary artery injury secondary to displaced proximal humeral fractures: a report of two cases","volume":"16","author":"Modi","year":"2008","journal-title":"J Orthop Surg (Hong Kong)."},{"issue":"2","key":"bib10-20240815","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/j.jseint.2020.10.003","article-title":"A case of delayed axillary artery aneurysm after reverse shoulder arthroplasty for a shoulder fracture dislocation: a case report","volume":"5","author":"Hirata","year":"2021","journal-title":"JSES Int."},{"issue":"3","key":"bib11-20240815","doi-asserted-by":"crossref","first-page":"351","DOI":"10.1097\/00000658-197009000-00005","article-title":"Civilian vascular injuries: a critical appraisal of three decades of management","volume":"172","author":"Drapanas","year":"1970","journal-title":"Ann Surg."},{"key":"bib12-20240815","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 outcomes","volume":"33","author":"Ng","year":"2016","journal-title":"Ann Vasc Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00006","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:43:50Z","timestamp":1787751830000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.24.00006"}},"subtitle":["A Report of 3 Cases"],"short-title":[],"issued":{"date-parts":[[2024,7]]},"references-count":11,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2024]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.24.00006","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7]]}}}