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Vascular. 2015 Apr;23(2):183-7. doi: 10.1177/1708538114538253. Epub 2014 Jun 5.

Late onset venous thoracic outlet syndrome following clavicle non-union fracture: A case report.

Author information

  • 1Yale University School of Medicine, New Haven, CT, USA.
  • 2Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • 3Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.
  • 4Department of Surgery, Division of Trauma, Burns, and Critical Care, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA JGATES@partners.org.

Abstract

A 59-year-old woman was admitted three times over a six-month period with recurrent upper extremity deep venous thrombosis (UEDVT). It was determined that this patient was suffering from an unusual presentation of Paget-Schröetter syndrome secondary to a 20-year-old non-union of a midshaft clavicle fracture. Following thrombolysis the patient underwent resection and plate fixation of the clavicle fracture non-union. Despite the anatomic proximity of the subclavian vessels to the clavicle, vascular complications from fracture are rare. Treatment of midshaft clavicle fractures is often non-operative. Non-union rates are generally less than 10%, and easily treated secondarily without complication. Clavicular pseudo-arthroses from trauma have been implicated in the development of the thoracic outlet syndromes, however, onset 20 years after fracture has never before been reported.

© The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

KEYWORDS:

Paget-Schröetter; clavicle fracture; pseudarthrosis; thoracic outlet

PMID:
24903529
[PubMed - in process]
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