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British Journal of Sports Medicine 2001;35:361-362; doi:10.1136/bjsm.35.5.361
Copyright © 2001 BMJ Publishing Group Ltd & British Association of Sport and Exercise Medicine.
Br J Sports Med 2001; 35:361-362
© 2001 the British Journal of Sports Medicine

Case report

Rupture of the axillary (circumflex) nerve and artery in a champion jockey

J Patel1, M Turner2, R Birch1 and P McCrory3

1 Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore HA7 4LP, Middlesex, UK
2 The Jockey Club, 42 Portman Square, London W1H 6EN, UK
3 Centre for Sports Medicine Research and Education and Brain Research Institute, University of Melbourne, Parkville, Victoria 3052, Australia

Correspondence to:
Correspondence to: Mr Patel, 916 William St, London N5Y 2SR, Ontario, Canada Mr_Jig_Patel{at}hotmail.com

Rupture of the circumflex artery and nerve, without fracture or dislocation, is a rare traumatic event. Such a case is reported in a champion flat jockey who sustained blunt trauma to the shoulder after a fall during a race; the literature is also reviewed. At urgent surgical exploration, the axillary artery and nerve were repaired. The patient subsequently successfully returned to professional riding. This case highlights the difficulties in diagnosis and management.

Key Words: axillary/circumflex nerve; infraclavicular brachial plexus; horse racing; jockey


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Commentary
G A Davis
Br. J. Sports Med. 2001 35: 363. [Extract] [Full Text] [PDF]

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  • Cowley, S, Bowman, B, Lawrance, M (2007). Injuries in the Victorian thoroughbred racing industry. Br. J. Sports. Med. 41: 639-643 [Abstract] [Full Text]  
  • Turner, M, McCrory, P, Halley, W (2002). Injuries in professional horse racing in Great Britain and the Republic of Ireland during 1992-2000. Br. J. Sports. Med. 36: 403-409 [Abstract] [Full Text]  

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