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Two cases of brachial plexus compression secondary to displaced clavicle fractures
Brachial plexus compression is a rare complication of displaced clavicle fractures, with few reports existing in the literature. Neurologic symptoms can present immediately after the injury or in a delayed fashion months later. Following polytrauma, two patients presented with displaced middle-third...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710716/ https://www.ncbi.nlm.nih.gov/pubmed/31467966 http://dx.doi.org/10.1016/j.tcr.2019.100219 |
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author | Gadinsky, Naomi E. Smolev, Emma T. Ricci, Michael J. Mintz, Douglas N. Wellman, David S. |
author_facet | Gadinsky, Naomi E. Smolev, Emma T. Ricci, Michael J. Mintz, Douglas N. Wellman, David S. |
author_sort | Gadinsky, Naomi E. |
collection | PubMed |
description | Brachial plexus compression is a rare complication of displaced clavicle fractures, with few reports existing in the literature. Neurologic symptoms can present immediately after the injury or in a delayed fashion months later. Following polytrauma, two patients presented with displaced middle-third left clavicle fractures initially treated conservatively at other institutions. Both patients developed neurologic symptoms in the left upper extremity consistent with brachial plexus compression. Magnetic resonance imaging and electrodiagnostic testing were used to help confirm the diagnosis of thoracic outlet syndrome/brachial plexopathy, and both patients underwent open reduction internal fixation with dual plating, local bone grafting and brachial plexus decompression. Both patients experienced successful relief of neurologic symptoms postoperatively. The purpose of this case series is to report on a rare complication of delayed- and non-united clavicle fractures and describe successful treatment with a novel fracture fixation construct. |
format | Online Article Text |
id | pubmed-6710716 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-67107162019-08-29 Two cases of brachial plexus compression secondary to displaced clavicle fractures Gadinsky, Naomi E. Smolev, Emma T. Ricci, Michael J. Mintz, Douglas N. Wellman, David S. Trauma Case Rep Article Brachial plexus compression is a rare complication of displaced clavicle fractures, with few reports existing in the literature. Neurologic symptoms can present immediately after the injury or in a delayed fashion months later. Following polytrauma, two patients presented with displaced middle-third left clavicle fractures initially treated conservatively at other institutions. Both patients developed neurologic symptoms in the left upper extremity consistent with brachial plexus compression. Magnetic resonance imaging and electrodiagnostic testing were used to help confirm the diagnosis of thoracic outlet syndrome/brachial plexopathy, and both patients underwent open reduction internal fixation with dual plating, local bone grafting and brachial plexus decompression. Both patients experienced successful relief of neurologic symptoms postoperatively. The purpose of this case series is to report on a rare complication of delayed- and non-united clavicle fractures and describe successful treatment with a novel fracture fixation construct. Elsevier 2019-08-20 /pmc/articles/PMC6710716/ /pubmed/31467966 http://dx.doi.org/10.1016/j.tcr.2019.100219 Text en © 2019 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Article Gadinsky, Naomi E. Smolev, Emma T. Ricci, Michael J. Mintz, Douglas N. Wellman, David S. Two cases of brachial plexus compression secondary to displaced clavicle fractures |
title | Two cases of brachial plexus compression secondary to displaced clavicle fractures |
title_full | Two cases of brachial plexus compression secondary to displaced clavicle fractures |
title_fullStr | Two cases of brachial plexus compression secondary to displaced clavicle fractures |
title_full_unstemmed | Two cases of brachial plexus compression secondary to displaced clavicle fractures |
title_short | Two cases of brachial plexus compression secondary to displaced clavicle fractures |
title_sort | two cases of brachial plexus compression secondary to displaced clavicle fractures |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710716/ https://www.ncbi.nlm.nih.gov/pubmed/31467966 http://dx.doi.org/10.1016/j.tcr.2019.100219 |
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