TY - JOUR PY - 2023// TI - Traumatic popliteal artery occlusion following lower extremity crush injury presenting with isolated patellar dislocation JO - American surgeon A1 - Amro, Chris A1 - Parekh, Akshat T. A1 - Diamond, Keith A1 - Lissauer, Matthew E. A1 - Butts, Christopher A. SP - ePub EP - ePub VL - ePub IS - ePub N2 - While traumatic popliteal artery injury historically has a low incidence, failure to acutely recognize the vascular insult poses a significant risk of limb loss and functional impairment. A 71-year-old male presented with left lower extremity pain in setting of a crush injury working underneath a vehicle resulting in an isolated lateral dislocation of his patella and complete occlusion of the distal popliteal artery. He was taken to the operating room for an in-situ bypass and four-compartment fasciotomy. His hospital stay included three staged washouts/debridements with eventual closure. He was discharged after 38 days to a rehabilitation facility with ability to self-ambulate with assistance within one month. This patient's presentation is unique for his isolated patellar dislocation without associated injuries characteristically associated with a traumatic vascular injury of the popliteal artery and serves to remind the importance of complete examination in the setting of blunt trauma.
Language: en
LA - en SN - 0003-1348 UR - http://dx.doi.org/10.1177/00031348231160846 ID - ref1 ER -