Recurrent peripheral embolism following nonunion of the clavicle.

Sen, Indrani; Varghese, Viju Daniel; Stephen, Edwin; Poonnoose, Pradeep · Indian J Orthop · 2014

case_report · Level V

Where this comes from

Abstract

Vascular complications in closed clavicular fractures are uncommon, with an incidence of only 0.4%. Subclavian artery injury can present acutely or can have a delayed presentation with arm ischemia. We report the case of an undetected subclavian pseudoaneurysm in a patient with a nonunion fracture clavicle who was referred with persistent ischemia following attempted brachial embolectomy at another center, along with a review of literature to support the hypothesis that in addition to repair of the aneurysm, treatment of the psuedarthrosis by fixation of the clavicle is essential.

Anatomy