Skip to main content

Advertisement

SpringerLink
Log in

Delayed union of a fracture of the middle third of the clavicle presenting with a late subclavian pseudoaneurysm

  • Case Report
  • Published:
MUSCULOSKELETAL SURGERY Aims and scope Submit manuscript

Abstract

This is the case of a 46-year-old man who presented 3 months following a fracture of the middle third of the clavicle with an expanding mass in the supraclavicular fossa. Upon admission, a pulsatile mass was identified and X-rays showed delayed union of the fracture. Seven days after admission, skin necrosis developed. Arteriography performed 3 days later demonstrated a round subclavian pseudoaneurysm measuring 5 cm in diameter. It was occluded by means of an endovascular prosthesis. Four days after arteriography, the delayed union was treated by excision of the necrotic skin and internal fixation with a plate and screws. After 1 year of follow-up, the outcome was clinically and radiologically satisfactory.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Craig EV (1991) Fractures of the clavicle. Part II. In: Rockwood CA Jr, Green DP, Bucholz RW (eds) Fractures in adults. JP Lippincott, Philadelphia, pp 928–990

    Google Scholar 

  2. Hansky B, Murray E, Minami K, Korfer R (1993) Delayed brachial plexus paralysis due to subclavian pseudoanaeurysm after clavicular fracture. Eur J Cardiothorac Surg 7:497–498

    Article  CAS  PubMed  Google Scholar 

  3. Schellhammer F, Muller HJ (2004) Endovascular treatment of subclavian pseudoaneurysm causing delayed brachial plexus paralysis. Vasa 33:239–241

    Article  CAS  PubMed  Google Scholar 

  4. 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-B:534–536

    Article  Google Scholar 

  5. Barra JA, Le Scout J, Gaultier Y (1978) Late signs of vascular complications of closed trauma of the shoulder (in French). J Chir (Paris) 115:151–157

    CAS  Google Scholar 

  6. Serrano JA, Rodriguez P, Castro L, Serrano P, carpintero P (2003) Acute subclavian pseudoaneurysm alter closed fracture of the clavicle. Acta Orthop Belg 69:555–557

    PubMed  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

  1. Department of Orthopaedics, La Paz University Hospital, Paseo de la Castellana 261, 28046, Madrid, Spain

    E. C. Rodriguez-Merchan

  2. School of Medicine, Autónoma University, Madrid, Spain

    E. C. Rodriguez-Merchan

  3. Department of Orthopaedics, La Paz University Hospital, Madrid, Spain

    P. Gomez-Cardero

Authors
  1. E. C. Rodriguez-Merchan
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P. Gomez-Cardero
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to E. C. Rodriguez-Merchan.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Rodriguez-Merchan, E.C., Gomez-Cardero, P. Delayed union of a fracture of the middle third of the clavicle presenting with a late subclavian pseudoaneurysm. Musculoskelet Surg 94, 89–92 (2010). https://doi.org/10.1007/s12306-010-0076-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12306-010-0076-5

Keywords

Search

Navigation