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Possible Ulnar Artery Laceration
Case: 32 yo male cut his wrist punching
glass. Laceration was repaired at an outside hospital
but sent to tertiary care center for evaluation of arterial
laceration. At presentation the wrist laceration is sutured
and no bleeding noted. Physical exam shows no neural deficit
and good distal arterial flow.
Image
Description: The video clip shows the ulnar artery
in long axis. In the center of the laceration is imaged
as a disruption of the soft tissue and contour of the
artery. Doppler signal shows minimal flow distal to the
laceration.
Results: The ultrasound
shows an arterial laceration.
Role of
Ultrasound: The ultrasound allows the physician
at the tertiary care center to determine if they need
to remove the sutures and examine the wound. It also allows
the physician to determine if a hand surgeon needs to
come in to see the patient or can follow up as an outpatient.
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