Posterior dislocation of clavicle with potential for great vessel injury

Valooran, George Jose; Nair, Suresh; Toms, Ajith

doi:10.1177/0218492315588861

Cited by 2 publications

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“…18 Other literature has shown that thoracic injuries are more prevalent in patients with clavicle fractures than those without. 11 Indeed, others have shown associated injuries involving concussions, cerebral hemorrhage, gastrointestinal/abdominal injury, vascular injury, 22,23 and long bone fractures. Clearly, clavicle fractures have a high prevalence of concomitant injury to regions beyond the immediate zone of injury.…”

Section: Introductionmentioning

confidence: 99%

Clavicle fractures: Associated trauma and morbidity

Amer

Congiusta

Suri

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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Background: Clavicle fractures are frequently associated with trauma to regions beyond the immediate zone of injury. In order to provide surgeons with information on injury prevalence to prevent delays in diagnosis and management, we describe the epidemiology of concomitant injuries in patients with clavicle fractures and identify differences between those with open and closed fractures. Methods: The Nationwide Inpatient Sample (NIS) 2001e2013 database was queried for adult patients discharged with a diagnosis of a clavicle fracture using ICD-9 codes. A "common" injury was defined as prevalence 4.0% in our study population. We analyzed data for injury locations associated with open vs. closed clavicle fractures with chi square and independent samples t-tests. Results: A total of 41,1612 patients were included in our study population. The majority of patients had closed clavicle fractures (98.2%). The most common concomitant fracture was that of the rib, followed by the spine. The most common non-vascular, non-nervous injury was a hemo/pneumothorax followed by a lung, bronchus, or diaphragm injury. Fractures of the humerus, rib, scapula, pelvis, tibia or fibula, and facial bones as well as concussion, pneumo/hemothorax, other pulmonary, and splenic injuries were more common in patients with open clavicle fractures. Patients with open clavicle fractures were, on average, 11.8 years younger than those with closed fractures. Conclusion:There is a significant association between clavicle fractures and concussion, splenic, and thoracic injuries, as well as increased rate of complications with open fractures. Clinicians may use this information to perform risk assessments prevent delays in diagnosis.

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Section: Introductionmentioning

confidence: 99%

Clavicle fractures: Associated trauma and morbidity

Amer

Congiusta

Suri

et al. 2021

Journal of Clinical Orthopaedics and Trauma

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“…Acquired or posttraumatic pseudarthrosis is more common and is related to fracture of the clavicle. 1,2 The location of the clavicle means that a pseudarthrosis may cause compression of structures in the thoracic outlet. Compression of the subclavian artery is rare [3][4][5][6] and when it occurs it is the result of bone disorders in 88% of cases.…”

Section: Introductionmentioning

confidence: 99%

Compressão da artéria subclávia por pseudoartrose de clavícula: apresentação na quinta década de vida

et al. 2018

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Compression of the subclavian artery in the thoracic outlet is a well-known phenomenon. In rare cases, bone abnormalities, such as pseudarthrosis of the clavicle, can cause arterial compression at this level. Pseudarthrosis may develop as a result of trauma, which is the more common form, or it may be congenital. Here, the authors describe the case of a 44-year-old patient with critical ischemia of the right upper limb. She had a history of untreated right clavicle fracture at 9 months of age which had progressed to pseudarthrosis and extrinsic compression of the subclavian artery causing occlusion. The segment of the clavicle involved was resected and late thromboembolectomy of the subclavian, brachial, distal arteries was performed, with good results.Keywords: subclavian artery; thoracic outlet syndrome; critical ischemia. ResumoA compressão da artéria subclávia no desfiladeiro torácico é um fenômeno amplamente conhecido. Anormalidades ósseas, como a pseudoartrose da clavícula, podem raramente causar compressão arterial a esse nível. A pseudoartrose pode desenvolver-se em decorrência de um trauma, que é a forma mais comum, ou ser congênita. Os autores descrevem o caso de uma paciente de 44 anos com quadro de isquemia crítica de membro superior direito. Apresentava história de fratura não tratada de clavícula direita aos 9 meses de idade que evoluiu com pseudoartrose e compressão extrínseca com oclusão da artéria subclávia. O segmento da clavicula acometido pela pseudoartrose foi ressecado e realizada uma tromboembolectomia tardia das artérias subclávia, braquial e distais, com boa evolução.Palavras-chave: artéria subclávia; síndrome do desfiladeiro torácico; isquemia crítica.

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Posterior dislocation of clavicle with potential for great vessel injury

Cited by 2 publications

References 0 publications

Clavicle fractures: Associated trauma and morbidity

Clavicle fractures: Associated trauma and morbidity

Compressão da artéria subclávia por pseudoartrose de clavícula: apresentação na quinta década de vida

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