Avoiding Iatrogenic Axillary Artery Injury in Reverse Total Shoulder for Fracture: The Use of a Separate Axillary Incision: A Case Report.
PM, W. & DR, H. (2026). Avoiding Iatrogenic Axillary Artery Injury in Reverse Total Shoulder for Fracture: The Use of a Separate Axillary Incision: A Case Report.. JBJS case connector. https://doi.org/10.2106/JBJS.CC.26.00145
PM W, DR H. Avoiding Iatrogenic Axillary Artery Injury in Reverse Total Shoulder for Fracture: The Use of a Separate Axillary Incision: A Case Report.. JBJS case connector. 2026; doi: 10.2106/JBJS.CC.26.00145
PM W, DR H. Avoiding Iatrogenic Axillary Artery Injury in Reverse Total Shoulder for Fracture: The Use of a Separate Axillary Incision: A Case Report.[J]. JBJS case connector. 2026. DOI: 10.2106/JBJS.CC.26.00145.
@article{pm2026,
author = {Wise PM and Haase DR},
title = {Avoiding Iatrogenic Axillary Artery Injury in Reverse Total Shoulder for Fracture: The Use of a Separate Axillary Incision: A Case Report.},
journal = {JBJS case connector},
year = {2026},
doi = {10.2106/JBJS.CC.26.00145},
note = {PMID: 42627940},
}
TY - JOUR AU - Wise PM AU - Haase DR TI - Avoiding Iatrogenic Axillary Artery Injury in Reverse Total Shoulder for Fracture: The Use of a Separate Axillary Incision: A Case Report. T2 - JBJS case connector PY - 2026 DO - 10.2106/JBJS.CC.26.00145 AN - PMID:42627940 ER -
CASE: A 71-year-old woman sustained a left proximal humerus fracture dislocation. Imaging demonstrated displacement of the humeral head medial to the axillary artery without initial injury. To avoid iatrogenic injury, a separate medial axillary incision was successfully used to remove the humeral head and then reverse total shoulder arthroplasty was performed through a deltopectoral approach. At 1 year, the patient had excellent range of motion and PROMIS Physical Function CAT (v2.0) score was 46.2. CONCLUSIONS: A separate medial axillary approach can be used to safely remove anterior/inferior humeral head fragments and avoid neurovascular injury in reverse total shoulder arthroplasty for proximal humerus fracture dislocations.