Chronic Irreducible Anterior Shoulder Dislocation With Axillary Vein Compression: A Case Report Highlighting Multidisciplinary Management With Reverse Total Shoulder Arthroplasty

This case underscores the importance of considering vascular compression in chronic irreducible shoulder dislocations. While axillary artery injury is well-documented, chronic axillary vein compression and thrombosis remain underreported. Advanced imaging, particularly CTA, should be utilized when the humeral head lies in close proximity to vascular structures. Such complex cases require management in a tertiary care setting with access to vascular surgery. Multidisciplinary planning, timely diagnosis, and appropriate surgical intervention are essential to optimize outcomes in these high-risk patients.