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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...

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Autores principales: Gadinsky, Naomi E., Smolev, Emma T., Ricci, Michael J., Mintz, Douglas N., Wellman, David S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
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.
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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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