Journal of Musculoskeletal Trauma

Acute Rupture of Subclavian Artery Pseudoaneurysm after Delayed Osteosynthesis of Clavicular Fracture: A Case Report: Oog Jin Shon, Jee Hoon Kim, Kang Hyun Park; J Korean Fract Soc 2014;27(1):82-87. Published online January 31, 2014; DOI: https://doi.org/10.12671/jkfs.2014.27.1.82

Abstract PDF: Subclavian vessels are well protected by muscles, fascia and sheaths, so vascular complications associated with clavicular fractures are rare. Pseudoaneurysms after clavicular fractures have been reported, and the occurrence or rupture of pseudoaneurysm has been reported rarely as a late complication. However, cases of pseudoaneurysm after rupture of the clavicular fracture following delayed osteosynthesis of the clavicular fracture have not been reported. A 58-year-old female that presented with a right clavicular shaft fracture obtained conservative treatment. Surgery was performed after 4 months because of non-union in the local medical center. After operation, rupture of the subclavian pseudoaneurysm occurred following osteosynthesis of the clavicular shaft fracture. We report this case here with a review of the literature.

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Late-onset Brachial Artery Occlusion caused by Subclavian Artery Stenosis after Clavicular Fracture: A Case Report: Chul Hyung Kang, Chul Hyun Cho, Sung Won Sohn, Ki Chul Bae, Hyung Tae Kim; J Korean Fract Soc 2006;19(4):494-496. Published online October 31, 2006; DOI: https://doi.org/10.12671/jkfs.2006.19.4.494

Although vascular injury after clavicular fracture is a extremely rare, it is a complication which is serious problem. Vascular injury associated with the fracture can be immediate or delayed. We report a case of late-onset brachial artery occlusion caused by subclavian artery stenosis with excessive scar tissue after open reduction and plate fixation for clavicular fracture and include a review of the literature.

Citations

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Bilateral Brachial Artery Disease Presenting with Features of Raynaud’s Phenomenon: A Case Report and Review of the Literature
Karan Seegobin, Brittany Lyons, Satish Maharaj, Cherisse Baldeo, Pramod Reddy, James Cunningham
Case Reports in Vascular Medicine.2017; 2017: 1. CrossRef
Delayed Brachial Artery Occlusion after Humeral Shaft Open Fracture - A Case Report -
Chul-Hyun Cho, Ki-Cheor Bae, Kyung-Jae Lee, Si-Wook Lee
Journal of the Korean Fracture Society.2012; 25(2): 146. CrossRef

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Fracture of Clavicle Accompanied by Injury of Subclavian Artery, Hemothorax and Arterial Occlusion by fhrornboembolism: Treated by Intraarterial Thrombolytic Procedure: Sung Churl Lee, Moon Jib Yoo, Suk Joo Lyu, Jin Young Park, Myung Ho Kim; J Korean Soc Fract 1995;8(4):885-888. Published online October 31, 1995; DOI: https://doi.org/10.12671/jksf.1995.8.4.885

Abstract PDF: Although most fractures of the clavicle are usually treated by closed means and heal uneventfully, serious injuries may occur and a delay in treateng these injuries may be life-threatening. One of such serious associated injuries is vascular injury. In this report, we present an unusual case in which a fracture of the clavicle was accompanied by an injury of the subclavian artery, hemothorax and concommitant arterial occlusion of upper extremity by throboernbolism. Treatment included resection of the injured part of the artery with bypass graft, thromboembolectomy and fixation of the clavicle with a plate and screws. Thereafter, the patient had suffered from repeated episodes of thrornboembolism of the upper extremity, a compartment syrdrome and a metal failure. It is critical in a patient with a clavicular fracture that a careful examination of the entire upper extremity be performed, with particular emphasis on the neurovascualr status.

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