A 28 year old woman fell off her horse and fractured the surgical neck of the right humerus (A: red arrow). The CTA was suggestive of a localised dissection (A:… Click to show full abstract
A 28 year old woman fell off her horse and fractured the surgical neck of the right humerus (A: red arrow). The CTA was suggestive of a localised dissection (A: yellow arrow), but a catheter directed angiogram was normal (B). She was managed conservatively with an arm sling and aspirin. The fracture healed (C), but she subsequently developed right arm claudication. Both Roo’s and Adson’s tests induced loss of her right radial pulse, suggestive of external compression. The artery was explored through an axillary approach. There
               
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