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Vascular Injury Following a Fall Onto an Outstretched Hand

A 46-year-old man presented for evaluation of an injury to his left elbow after a fall.
Emergency Medicine. 2017 July;49(7):321-323 | 10.12788/emed.2017.0039
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A methodical approach to assessing patients presenting with elbow injury is essential to making the correct diagnosis. This should include a careful evaluation of the joints above and below the area of injury, as well as attention to the neurovascular examination, with a heightened suspicion for a vascular abnormality in complex injuries. Doppler and ultrasound evaluation with multiple rechecks can assist with the diagnosis. Our patient was rapidly assessed with a concern for a vascular injury, and was emergently referred to vascular surgery for repair of the brachial artery and stabilization of the joint.