1/10. clavicle malunion.The clavicle fracture that has united with deformity or shortening may have an adverse effect on normal shoulder girdle function. We report on 4 patients in whom a malunited fracture of the clavicle was believed to be a contributing factor to shoulder girdle dysfunction. In each patient, the functional status of the involved limb was improved after corrective osteotomy at the site of deformity, realignment, and plate fixation.- - - - - - - - - - ranking = 1keywords = clavicle (Clic here for more details about this article) |
2/10. Acute subclavian artery pseudoaneurysm after closed fracture of the clavicle.A sixty-year-old woman was admitted with an acute subclavian artery pseudoaneurysm after a closed fracture of the middle third of the right clavicle. This manifested itself a few days after the injury as a slowly growing, pulsatile and purple tumour-like mass in the right supraclavicular fossa. The distal pulses were normal, but this observation does not exclude a vascular trauma. This is an uncommon but potentially dangerous complication as it jeopardizes both the extremity and the life of the patient.- - - - - - - - - - ranking = 2.5keywords = clavicle (Clic here for more details about this article) |
3/10. Conservative treatment of a closed fracture of the clavicle complicated by pneumothorax: a case report.Isolated clavicle fractures are frequently encountered in the accident and emergency department. Complications of isolated clavicle fractures are rare. pneumothorax as a complication of a clavicle fracture has only been reported five times in English literature. In all five cases the pneumothorax was treated by a thoracostomy and the clavicle fracture was treated conservatively. In our case, both pneumothorax and clavicle fracture were treated conservatively with good result. Although isolated clavicle fractures rarely present with complications and normally heal with routine immobilisation, we must be aware of the serious complications that may occur, which require urgent treatment. Thorough history, physical examination, with particular attention to the neurovascular and chest examinations and radiographs of the clavicle are necessary to prevent overlooking these potentially serious complications.- - - - - - - - - - ranking = 5.5keywords = clavicle (Clic here for more details about this article) |
4/10. Fracture and retrosternal dislocation of the medial clavicle in a 12-year-old child--case report, options for diagnosis, and treatment in children.We report a retrosternally displaced epiphysiolysis in a 12-year-old child and discuss options for the most appropriate diagnostic and therapeutic approach. If a standard anteroposterior view of the shoulder girdle shows abnormalities or if appropriate clinical suspicion is present, we strongly favor an magnetic resonance imaging study for further workup instead of a computed tomographic scan, which is currently the diagnostic method of choice in clinical algorithms. radiation exposure is thereby limited and maximum information about possible mediastinal soft tissue complications is obtained using a single diagnostic tool. If open reduction is indicated, retention of the joint or approximation of physeal fracture or treatment of ligamentous injury should be performed without metal devices. These suggestions for future management of these patients should further reduce the use of x-rays in children. In addition, applying a suture instead of using metal for stabilization can avoid the extensively described complications in literature that can potentially result from metal devices. In addition, sutures circumvent the need for a second operation for metal removal.- - - - - - - - - - ranking = 2keywords = clavicle (Clic here for more details about this article) |
5/10. reflex sympathetic dystrophy after clavicle fracture: case report.reflex sympathetic dystrophy (RSD) of the anterior chest wall is a rare entity. A medline search in all languages of the world's literature from 1966 to the present yielded no report of the association of clavicle fracture with this pain syndrome. Two cases are presented and the anatomic variations of the supraclavicular nerves in relation to the clavicle are discussed.- - - - - - - - - - ranking = 3keywords = clavicle (Clic here for more details about this article) |
6/10. Brachial-plexus injury after clavicular fracture: case report and literature review.brachial plexus injury is a rare complication of the fractured clavicle. The authors describe the second reported case of brachial plexus injury due to secondary fracture displacement. This case emphasizes the following points: the neurologic status of the arm after a fracture of the clavicle must be documented; fractures of the middle one-third of the clavicle are prone to displacement; patients should be advised to report immediately any new symptoms in the arm; when fracture displacement is the cause of brachial-plexus compression then a trial of conservative therapy is indicated; the prognosis for neurologic recovery after this injury is good.- - - - - - - - - - ranking = 1.5keywords = clavicle (Clic here for more details about this article) |
7/10. False positive indium-111 white blood cell scan in a closed clavicle fracture.Aggressive treatment of the multiply injured patient often requires early fixation of many fractures, some of which may be open. Often, patients develop postoperative fevers requiring a thorough workup to rule out infection. Recently, indium-111 white blood cell (WBC) imaging has become a valuable adjunct in the diagnosis of acute infection. The patient described had a simple, closed clavicle fracture with markedly increased activity on an indium-111 WBC scan obtained for fever workup. This subsequently proved to be a normal, healing, noninfected fracture by other diagnostic techniques. Noninfected, simple closed fractures should be added to the list of causes for a false-positive indium-111 WBC scan.- - - - - - - - - - ranking = 2.5keywords = clavicle (Clic here for more details about this article) |
8/10. Bilateral pseudarthrosis of the clavicles.A case following a road traffic accident involving fracture of the shafts of both clavicles complicated by non-union is described.- - - - - - - - - - ranking = 2.5keywords = clavicle (Clic here for more details about this article) |
9/10. clostridium perfringens infection of an anterior iliac crest bone graft donor site. A case report.Postoperative infection of elective surgical wounds with Clostridium species has been linked to gastrointestinal tract lesions. A 55-year-old man with a history of peptic ulcer disease was treated by open reduction and internal fixation with autogeneic cancellous bone grafting from an anterior iliac crest donor site for nonunion of the clavicle. A mild serosanguinous drainage from the Penrose drain site at the iliac crest had ceased on postoperative Day 11; the patient complained of pain and a brownish drainage on postoperative Day 15. The infection was documented with cultures positive for clostridium perfringens. Aggressive emergent surgical and antibiotic therapy resulted in complete clinical recovery. The wound infection did not advance to severe tissue damage and myonecrosis. This case represents the first reported infection of an iliac crest bone graft site with C. perfringens.- - - - - - - - - - ranking = 0.5keywords = clavicle (Clic here for more details about this article) |
10/10. Injury to the brachial plexus by a fragment of bone after fracture of the clavicle.Clavicular fractures are occasionally responsible for lesions of the brachial plexus. The symptoms are usually delayed and due to compression by hypertrophic callus, nonunion or a subclavian pseudoaneurysm. We describe a patient in whom a displaced bone fragment was pressing on the retroclavicular part of the brachial plexus, leading to early symptoms of a lesion of the posterior cord. Internal fixation of the clavicle and external neurolysis of the brachial plexus gave an almost full recovery.- - - - - - - - - - ranking = 2.5keywords = clavicle (Clic here for more details about this article) |
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