Upper extremity arterial injury in athletes Walter J. McCarthy, MD, James S.T. Yao, MD, Michael F. Schafer, MD, Gordon Nuber, MD, William R. Flinn, MD, Donna Blackburn, RN, Jacob R. Suker, MD  Journal of Vascular Surgery  Volume 9, Issue 2, Pages 317-327 (February 1989) DOI: 10.1016/0741-5214(89)90052-9 Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 1 Arteriogram in a major league first baseman. There is nonfilling of the ulnar artery with marked decrease of perfusion to all fingers. Journal of Vascular Surgery 1989 9, 317-327DOI: (10.1016/0741-5214(89)90052-9) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 2 In the same player as in Fig. 1, there is marked improvement of ulnar artery filling after vasodilator administration. Journal of Vascular Surgery 1989 9, 317-327DOI: (10.1016/0741-5214(89)90052-9) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 3 Arteriography in a kayaker with distal embolization. Aneurysm (arrows) is seen in the subclavian artery. Journal of Vascular Surgery 1989 9, 317-327DOI: (10.1016/0741-5214(89)90052-9) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 4 Arteriography in a major league right-handed baseball pitcher. In playing position the axillary artery is compressed by the pectoralis minor muscle. Compression of the subscapular artery is also evident (arrow). Journal of Vascular Surgery 1989 9, 317-327DOI: (10.1016/0741-5214(89)90052-9) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 5 Arteriograms in a minor league baseball pitcher. A, The axillary artery (1), subscapular artery (2), and irregularity of the posterior circumflex artery (arrow). B, Filling defect on delayed phase. Journal of Vascular Surgery 1989 9, 317-327DOI: (10.1016/0741-5214(89)90052-9) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 6 Arteriogram in the same player as in Fig. 5 shows occlusion of the digital arteries (third digit). Journal of Vascular Surgery 1989 9, 317-327DOI: (10.1016/0741-5214(89)90052-9) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 7 Arterial anatomy of the thoracic outlet demonstrates the relation between the suprascapular and subscapular arteries and the adjacent muscles. Journal of Vascular Surgery 1989 9, 317-327DOI: (10.1016/0741-5214(89)90052-9) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 8 Arteriogram in a major league right-handed baseball pitcher. A, Neutral position. The subclavian and the suprascapular arteries (arrow) show no compression. B, In pitching position there is compression of the subclavian artery by the anterior scalene muscle. The suprascapular artery is no longer visualized. Journal of Vascular Surgery 1989 9, 317-327DOI: (10.1016/0741-5214(89)90052-9) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions

Fig. 9 Arteriogram in the kayaker (Fig. 3) after autogenous vein graft. There is no compression of the graft in abduction at external rotation. Journal of Vascular Surgery 1989 9, 317-327DOI: (10.1016/0741-5214(89)90052-9) Copyright © 1989 Society for Vascular Surgery and the North American Chapter, International Society for Cardiovascular Surgery Terms and Conditions