Extrinsic Subclavian Vein Compression after Osteosynthesis of a Midshaft Clavicular Fracture in an Athlete
Clavicle fractures are common injuries. Traditionally, nonsurgical management has been favored; however, recent evidence has emerged indicating that operative fixation produces lower nonunion rates, better functional outcomes, improved cosmesis, and greater patient satisfaction. Although clavicle fi...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2015/981293 |
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| author | Luciano A. Rossi Nicolas S. Piuzzi Santiago L. Bongiovanni Ignacio Tanoira Gaston Maignon Maximiliano Ranalletta |
| author_facet | Luciano A. Rossi Nicolas S. Piuzzi Santiago L. Bongiovanni Ignacio Tanoira Gaston Maignon Maximiliano Ranalletta |
| author_sort | Luciano A. Rossi |
| collection | DOAJ |
| description | Clavicle fractures are common injuries. Traditionally, nonsurgical management has been favored; however, recent evidence has emerged indicating that operative fixation produces lower nonunion rates, better functional outcomes, improved cosmesis, and greater patient satisfaction. Although clavicle fixation has been considered a safe procedure, several complications related to plate fixation have been reported. We report a case of a 21-year-old basketball player that had a vascular complication associated with internal fixation of a clavicle fracture. An external compression of the subclavian vein was attributed to a long screw of a precontoured clavicular plate. Although vascular complications associated with clavicle fixation are rare, they may be limb and even life threating. It is advisable that surgeons take measures to avoid them especially when placing the medial screws. |
| format | Article |
| id | doaj-art-c4a2e3e05927406a8fd730d73cc0895e |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-c4a2e3e05927406a8fd730d73cc0895e2025-02-03T01:22:05ZengWileyCase Reports in Orthopedics2090-67492090-67572015-01-01201510.1155/2015/981293981293Extrinsic Subclavian Vein Compression after Osteosynthesis of a Midshaft Clavicular Fracture in an AthleteLuciano A. Rossi0Nicolas S. Piuzzi1Santiago L. Bongiovanni2Ignacio Tanoira3Gaston Maignon4Maximiliano Ranalletta5Institute of Orthopedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Potosi 4247, 1199 Buenos Aires, ArgentinaInstitute of Orthopedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Potosi 4247, 1199 Buenos Aires, ArgentinaInstitute of Orthopedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Potosi 4247, 1199 Buenos Aires, ArgentinaInstitute of Orthopedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Potosi 4247, 1199 Buenos Aires, ArgentinaInstitute of Orthopedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Potosi 4247, 1199 Buenos Aires, ArgentinaInstitute of Orthopedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Potosi 4247, 1199 Buenos Aires, ArgentinaClavicle fractures are common injuries. Traditionally, nonsurgical management has been favored; however, recent evidence has emerged indicating that operative fixation produces lower nonunion rates, better functional outcomes, improved cosmesis, and greater patient satisfaction. Although clavicle fixation has been considered a safe procedure, several complications related to plate fixation have been reported. We report a case of a 21-year-old basketball player that had a vascular complication associated with internal fixation of a clavicle fracture. An external compression of the subclavian vein was attributed to a long screw of a precontoured clavicular plate. Although vascular complications associated with clavicle fixation are rare, they may be limb and even life threating. It is advisable that surgeons take measures to avoid them especially when placing the medial screws.http://dx.doi.org/10.1155/2015/981293 |
| spellingShingle | Luciano A. Rossi Nicolas S. Piuzzi Santiago L. Bongiovanni Ignacio Tanoira Gaston Maignon Maximiliano Ranalletta Extrinsic Subclavian Vein Compression after Osteosynthesis of a Midshaft Clavicular Fracture in an Athlete Case Reports in Orthopedics |
| title | Extrinsic Subclavian Vein Compression after Osteosynthesis of a Midshaft Clavicular Fracture in an Athlete |
| title_full | Extrinsic Subclavian Vein Compression after Osteosynthesis of a Midshaft Clavicular Fracture in an Athlete |
| title_fullStr | Extrinsic Subclavian Vein Compression after Osteosynthesis of a Midshaft Clavicular Fracture in an Athlete |
| title_full_unstemmed | Extrinsic Subclavian Vein Compression after Osteosynthesis of a Midshaft Clavicular Fracture in an Athlete |
| title_short | Extrinsic Subclavian Vein Compression after Osteosynthesis of a Midshaft Clavicular Fracture in an Athlete |
| title_sort | extrinsic subclavian vein compression after osteosynthesis of a midshaft clavicular fracture in an athlete |
| url | http://dx.doi.org/10.1155/2015/981293 |
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