Abstract
Vascular injuries can present in athletes as a result of traumatic injury, nontraumatic chronic overuse injuries, or as the result of underlying vascular conditions. Subclavian vein thrombosis (Paget-von Schroetter syndrome) is the most common venous injury in athletes, while axillary artery and popliteal artery entrapments appear to be the most common arterial injuries in sports. Sports with high-velocity contact appear to produce the most common vascular injuries. This chapter focuses on conditions that present in an acute, emergent fashion in athletes and reviews the clinical presentations, diagnosis, and management of the most common acute vascular injuries.
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References
Akuthota V, Herring S. Nerve and vascular injuries in sports medicine. J Can Chiropr Assoc. 2010;54(2):133.
Harrast M, Finnoff J. Sports medicine study guide and review for boards. New York: Demos Medical Publishing; 2016.
Côte P, Kreitz BG, Cassidy JD. TH. The validity of the extension-rotation test as a clinical screening procedure before neck manipulation: a secondary analysis. J Manip Physiol Ther. 1996;19(3):159–64.
Jarvis MA, Jarvis CL, Jones PRST. Reliability of Allen’s test in selection of patients for radial artery harvest. Ann Thorac Surg. 2000;70:1362–5.
Marx RG, Bombardier CWJ. What do we know about reliability and validity of physical examination tests used to examine the upper extremity. J Hand Surg [Am]. 1999;24(1):185–92.
Lee J, Laker SFM. Thoracic outlet syndrome. PM R. 2010;2(1):64–70.
Gillard J, Pérez-Cousin M, Hachulla E, Remy J, Hurtevent JF, Vinckier L, Thévenon ADB. Diagnosing thoracic outlet syndrome: contribution of provocative tests, ultrasonography, electrophysiology, and helical computed tomography in 48 patients. Jt Bone Spine. 2001;68(5):416–24.
S M e. Evidence-based physical diagnosis. 4th ed. Philadelphia: Elsevier Saunders; 2017. p. 463–6.
Browner BD, Jupiter JB, AP KC, editors. Skeletal trauma: basic science, management, and reconstruction. 5th ed. Philadelphia: Elsevier Saunders; 2015.
Perlowski AA, Jaff MR. Vascular disorders in athletes. Vasc Med. 2010;15(6):469–79.
Marx JA, Hockberger RSWR, editors. Rosen’s emergency medicine: concepts and clinical practice. 8th ed. Philadelphia: Elsevier Saunders; 2014.
Proximal Humerus CSM. Fractures. Curr Rev Musculoskelet Med. 2011;4(4):214–20.
Cutts S, Prempeh MDS. Anterior shoulder dislocation. Ann R Coll Surg Engl. 2009;91(1):2–7.
Degiannis E, Levy RD, Potokar TSR. Penetrating injuries of the axillary artery. Aust N Z J Surg. 1995;65(5):327–30.
Lutter C, Pfefferkorn R, Schoeffl V. Arterial damages in acute elbow dislocations: which diagnostic tests are required? BMJ Case Rep. 2016;2016:bcr2016216336.
Melby SJ, Vedantham S, Narra VR, Paletta GA Jr, Khoo-Summers L, Driskill MTR. Comprehensive surgical management of the competitive athlete with effort thrombosis of the subclavian vein (Paget-Schroetter syndrome). J Vasc Surg. 2008;47:809–20.
Illig KADA. A comprehensive review of Paget-Schroetter syndrome. J Vasc Surg. 2010;51(6):1538–47.
Chin EE, Zimmerman PTGE. Sonographic evaluation of upper extremity deep venous thrombosis. J Ultrasound Med. 2005;24:829–38.
Prandoni P, Polistena P, Bernardi E, Cogo A, Casara D, Verlato F, Angelini F, Simioni P, Signorini GP, Benedetti LGA. Upper extremity deep vein thrombosis: risk factors, diagnosis, and complications. Arch Intern Med. 1997;157(1):57–62.
Mooji T, Duncan AAKS. Vascular injuries in the upper extremity in athletes. Hand Clin. 2015;31:39–52.
Osiro S, Zurada A, Gielecki J, Shoja MM, Tubbs RS. LM. A review of subclavian steal syndrome with clinical correlation. Med Sci Monit. 2012;18(5):57–63.
Hoskins WT, Pollard HPMA. Quadrilateral space syndrome: a case study and review of the literature. Br J Sports Med. 2005;39(2):e9.
Atema JJIM. Posterior circumflex humeral artery injury with distal embolisation in professional volleyball players: a discussion of three cases. Eur J Vasc Endovasc Surg. 2012;44(2):195–8.
Ablett CTHLA. Hypothenar hammer syndrome: case reports and brief review. Clin Med Res. 2008;6(1):3–8.
Via AG, Oliva F, Spoliti MMN. Acute compartment syndrome. Muscles Ligaments Tendons J. 2015;5(1):18–22.
Duckworth AD, McQueen MM. The diagnosis of acute compartment syndrome a critical analysis review. J Bone Jt Surg Rev. 2017;5(12):1–11.
Henrichs A. A review of knee dislocations. J Athl Train. 2004;39(4):365–9.
Gray JL, Cindric M. Management of arterial and venous injuries in the dislocated knee. Sports Med Arthrosc [Internet]. 2011;19(2):131–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21540710.
Patterson BM, Agel J, Swiontkowski MF, Mackenzie EJBM. Knee dislocations with vascular injury: outcomes in the lower extremity assessment project (LEAP) study. J Trauma. 2007;63(4):855–8.
Bucci F, Ottaviani NPP. Acute thrombosis of external iliac artery secondary to endofibrosis. Ann Vasc Surg. 2011;25(5):5–7.
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McBride, A., Singer, A.M., Beach, H. (2020). Vascular. In: Khodaee, M., Waterbrook, A., Gammons, M. (eds) Sports-related Fractures, Dislocations and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-030-36790-9_39
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DOI: https://doi.org/10.1007/978-3-030-36790-9_39
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