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Javelin injury to the subclavian artery

Department of Surgery, Ochsner Medical Institutions, New Orleans, Louisiana

John L. Ochsner, MD

Department of Surgery, Ochsner Medical Institutions, New Orleans, Louisiana

Penetrating arterial injuries are exceedingly rare in athletics. The successful repair of a traumatic tran section of a subclavian artery resulting from a javelin injury is reported. The importance of a high index of suspicion and an expedient and thorough evaluation of penetrating cervical and supraclavicular injuries on the part of the athletic staff and the physician is stressed. Subclavian arterial injuries are discussed and pitfalls in their assessment are listed. The princi ples of surgical management are outlined.