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Neurovascular Complications Associated With Clavicle Fractures: A Report of Three Cases and Recommendations.
Cureus
November 2024
Department of Orthopedics, Royal Berkshire NHS Foundation Trust, Reading, GBR.
Neurovascular complications associated with clavicular shaft fractures can manifest at presentation, develop gradually over time, or potentially be iatrogenically induced. Conducting a thorough neurovascular examination and, when warranted, pursuing further investigation through modalities such as CT angiogram, MRI, and nerve conduction studies (NCS) are crucial for early diagnosis and pre-operative planning. This comprehensive approach enhances patient outcomes by facilitating timely intervention and addressing any underlying neurovascular issues associated with the fracture.
View Article and Find Full Text PDFNeurovascular Complications Following Clavicle Fracture Fixation: Timing, Mechanisms, and Clinical Implications.
Cureus
November 2024
Department of Orthopedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, USA.
This review addresses the neurovascular complications associated with the surgical treatment of clavicle fractures through open reduction and internal fixation (ORIF). Despite being a generally safe procedure, it can lead to severe complications including brachial plexopathy, pseudoaneurysm, arteriovenous fistulas (AVF), deep vein thrombosis (DVTs), and thoracic outlet syndrome (TOS). One significant observation, not often highlighted in previous literature, is that neurovascular complications are more common in cases involving delayed fixation, nonunion, or malunion, compared to those treated acutely.
View Article and Find Full Text PDFArterial thoracic outlet syndrome caused by a cervical rib: a combined thoracoscopic and supraclavicular approach for 'en bloc'-resection.
Interdiscip Cardiovasc Thorac Surg
December 2024
Department of Thoracic Surgery, Cantonal Hospital Lucerne, Lucerne, Switzerland.
A cervical rib is the cause of ∼5% of thoracic outlet syndromes (TOS). We report the case of a patient with arterial TOS due to the presence of a cervical rib, managed by combined thoracoscopic and supraclavicular approach. An 18-year-old female patient presented with symptoms of arterial TOS.
View Article and Find Full Text PDFT1 erector spinae plane block for resection of the rib in thoracic outlet syndrome.
Proc (Bayl Univ Med Cent)
November 2024
Department of Anesthesiology, Sree Balaji Medical College and Hospital, Biher, India.
Imaging features of the brachial plexus in neurogenic thoracic outlet syndrome: A case report.
Radiol Case Rep
February 2025
Radiology Center, Hanoi Medical University Hospital, Hanoi, Vietnam.
Neurogenic thoracic outlet syndrome (NTOS) is characterized by the compression of the brachial plexus in the thoracic outlet region, caused by various etiologies. We report a case with clinical symptoms and imaging findings from ultrasound and magnetic resonance imaging (MRI) of NTOS due to an elongated C7 transverse process and a fibrous band of the middle scalene muscle, which was confirmed in decompression surgery.
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