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European Journal of Plastic Surgery
Published in: European Journal of Plastic Surgery 6/2007

01-02-2007 | Case Report

Delayed brachial plexopathy in clavicular fracture with tri-cord neurapraxia and complete recovery

Authors: T. W. L. Chapman, N. M. Harris, M. Rogers, P. Wilson, J. McDiarmid

Published in: European Journal of Plastic Surgery | Issue 6/2007

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Abstract

Brachial plexopathy after clavicular fracture is a rare and sparsely reported phenomenon. The symptoms are usually delayed and caused by compression by hypertrophic callus, non-union, or a subclavian pseudoaneurysm. We describe the first reported case of near complete plexopathy with a delayed presentation. This appeared to be a result of impingement by excess callus poorly tolerated due to the reduced subclavicular space. Internal fixation of the clavicle, debridement of callus, and external neurolysis of the brachial plexus resulted in a full recovery.
Literature
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Barbier O, Malghem J, Delaere O, Vande Berg B, Rombouts JJ (1997) Injury to the brachial plexus by a fragment of bone after fracture of the clavicle. J Bone Joint Surg Br 79(4):534–536PubMedCrossRef
2.
Chen CE, Liu HC (2000) Delayed brachial plexus neurapraxia complicating malunion of the clavicle. Am J Orthop 29(4):232–321
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Della Santa D, Narakas A, Bonnard C (1991) Late lesions of the brachial plexus after fracture of the clavicle. Ann Chir Main Memb Super 10(6):531–540PubMedCrossRef
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Hansky B, Murray E, Minami K, Korfer R (1993) Delayed brachial plexus paralysis due to subclavian pseudoaneurysm after clavicular fracture. Eur J Cardiothorac Surg 7(9):497–498PubMedCrossRef
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Kay SP, Eckardt JJ (1986) Brachial plexus palsy secondary to clavicular nonunion. Case report and literature survey. Clin Orthop Relat Res 206:219–222PubMed
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Mukand JA, Blackinton DD, VanDyck WR (2001) Delayed diagnosis of concomitant cuff tear and brachial plexopathy in a patient with traumatic brain injury: a case report. Arch Phys Med Rehabil 82(12):1729–1732PubMedCrossRef
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Rumball KM, Da Silva VF, Preston DN, Carruthers CC (1991) Brachial-plexus injury after clavicular fracture: case report and literature review. Can J Surg 34(3):264–266PubMed
Metadata
Title
Delayed brachial plexopathy in clavicular fracture with tri-cord neurapraxia and complete recovery
Authors
T. W. L. Chapman
N. M. Harris
M. Rogers
P. Wilson
J. McDiarmid
Publication date
01-02-2007
Publisher
Springer-Verlag
Published in
European Journal of Plastic Surgery / Issue 6/2007
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-006-0074-x

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