It is known that an interesting and unusual axillary artery thrombosis may develop over a period of time if an improperly adjusted crutch impinges repeatedly on the axilla. A 39 year-old male developed occlusion of left axillary artery and gangrenes of the left fingers after he had used axillary crutch for 25 years because of limping of the left leg resulting from poliomyelitis. The left hand was salvaged by successful thrombectomy. We report this case, review and discuss the literatures.