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A very rare and serious complication of shoulder dislocation is a lesion to the axillary artery in the elderly population,whose vascular structures have become less flexible.Axillary artery injury secondary to anteroinferior shoulder dislocation is much rarer,especially in the young people.Proper recognition and treatment of this entity offers a full recovery to the patient.Present report highlights the possibility of axillary artery injury with anteroinferior shoulder dislocation.A few case reports and small case series of this injury have been reviewed.And recommendations for management have been brought up to date,in line with current thinking.