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Rupture of the axillary (circumflex) nerve and artery in a champion jockey
  1. J Patel1,
  2. M Turner2,
  3. R Birch1,
  4. P McCrory3
  1. 1Peripheral Nerve Injury Unit, Royal National Orthopaedic Hospital, Stanmore HA7 4LP, Middlesex, UK
  2. 2The Jockey Club, 42 Portman Square, London W1H 6EN, UK
  3. 3Centre for Sports Medicine Research and Education and Brain Research Institute, University of Melbourne, Parkville, Victoria 3052, Australia
  1. Correspondence to: Mr Patel, 916 William St, London N5Y 2SR, Ontario, Canada Mr_Jig_Patel{at}hotmail.com

Abstract

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.

  • axillary/circumflex nerve
  • infraclavicular brachial plexus
  • horse racing
  • jockey

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