Which of the following is least likely associated with vascular injury –
Correct Answer: Fracture shaft humerus
Description: The fractures most often associated with damage to a major aery are those around the knee and elbow, and those of the humeral and femoral shafts. The aery may be cut, torn, compressed or contused, (a) (b) either by the initial injury or subsequently by jagged bone fragments. Even if its outward appearance is normal, the intima may be detached and the vessel blocked by thrombus, or a segment of aery may be in spasm. The effects vary from transient diminution of blood flow to profound ischaemia, tissue death and peripheral gangrene. Supracondylar fracture of humerus is associated with injury to brachial aery and Supracondylar fracture of femur is associated with injury to femoral aery. REF:Apley's system of ohopaedics-9th edn- pg no 713.
Category:
Orthopaedics
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