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At least 451 records · Page 25Linked to original sources
PubMed2000

Delayed brachial plexus neurapraxia complicating malunion of the clavicle.

Delayed brachial plexus neurapraxia is a rare complication of midshaft clavicular fracture. The symptoms are variable and occur insidiously. Surgical decompression to release the compression of brachial plexus is the treatment of choice and usually has a good result. We report a patient whose brachial plexus was compressed by malunion of the clavicle. This patient had a good outcome after treatment with intramedullary nailing and Knowles pin fixation after corrective osteotomy without bone grafting.

Adult↗
PubMedDate not supplied

The short clavicle syndrome.

Congenital or developmental shorting of the clavicle is an uncommon and isolated condition leading to a tangential position of the scapula. It presents in childhood as abnormal posture and may be familial. It causes minimal disability and affected patients do not require treatment.

Adolescent↗
PubMed2000

Bilateral fractured clavicles--a pair of cases.

The authors present two cases of bilateral fractured clavicles, both resulting from direct trauma to both shoulders. In both cases, the fractures healed uneventfully with non-operative treatment.

Accidents, Traffic↗
PubMed2001

Total cleidectomy for a solitary metastasis of the clavicle.

The clavicle is a fairly common site of metastases of renal cell carcinoma. We report the cases of two patients with undiagnosed renal cell carcinoma who were first seen for shoulder pain secondary to a solitary clavicular metastasis. Wide resection was performed in both cases. Functional and cosmetic results were good, with no shoulder pain or neurovascular deficits. We suggest wide surgical resection of a solitary bony metastasis from renal cell carcinoma, associated with appropriate systemic treatment, because the survival may be increased.

Bone Neoplasms↗
PubMed1975

Fracture of the clavicle.

In the treatment of fractures of the clavicle the generally accepted principles of fracture treatment should be observed, viz: X-rays in two projections at least, anatomical reduction and fixation stable enough to withstand exercising. Treatment with just a sling is adequate in children up to 14 years of age and also in older patients with only slight displacement. Surgical reduction and fixation with a Kirschner wire is to be preferred in patients older than 14 years with shortening by more than 1 cm or with severe displacement in another direction, and in cases of comminuted fractures. Patients with such fractures in whom operation is contra-indicated should be treated with an abduction-tractionbandage. The dorsal pad should be abandoned.

Adolescent↗
PubMedDate not supplied

Congenital pseudarthrosis of the clavicle: a proposal for early surgical treatment.

We present a review of six cases of children with congenital pseudarthrosis of the clavicle, treated and followed up at the "La Fe" Hospital for Children. One of them had bilateral involvement. Five of them, including the bilateral case, were surgically treated at ages ranging from 18 months to 4 years. Bone graft and internal fixation with a Kirschner wire were used. Healing of the pseudarthrosis was obtained in all patients in 6-8 weeks. We discuss the suitability of early surgical treatment that, in our opinion, produces very satisfactory results.

Bone Wires↗
PubMed2001

Tuberculosis of the clavicle presenting as an expansile lytic lesion: a case report.

An unusual case of skeletal tuberculosis, presenting as an expansile osteolytic lesion in the lateral end of the clavicle is presented. Diagnostic confusion delayed appropriate medical therapy, leading to development of a discharging sinus with secondary infection, which further confused the picture. With re-emergence of tuberculosis as an important infection worldwide, and the ability of this disease to mimic many skeletal pathologies, this has to be included in the differential diagnosis, especially at unusual sites.

Adult↗
PubMed1999

Atraumatic floating clavicle and total claviculectomy.

We describe a patient with a floating clavicle of atraumatic origin treated by total claviculectomy. Clavicular function and anatomy are summarized relative to complete excision. Other treatment options for panclavicular instability are also discussed.

Adult↗
PubMed2000

Nonunion of the fractured clavicle: evaluation, etiology, and treatment.

Although often viewed as benign injuries, clavicular fractures can lead to complications, particularly nonunions. The nonunion rate has been reported to be between 0.1% and 15%. Contributing factors to nonunion include severe initial trauma, marked initial displacement and shortening, soft tissue interposition, primary open reduction and internal fixation, refracture, open fracture, polytrauma, and inadequate initial immobilization. A clavicular nonunion is rarely asymptomatic and often results in disability from pain at the site of nonunion, altered shoulder mechanics, or a compression lesion involving the underlying brachial plexus or vascular structures. Treatment options include nonsurgical management, salvage procedures, and reconstructive procedures. The present goal is to obtain union with reconstructive procedures. The fixation methods described range from external fixation to plate and screw osteosynthesis. We prefer open reduction and internal fixation with plates and screws and with intercalary tricorticocancellous grafts to obtain union and restore the clavicle to its normal length.

Bone Transplantation↗
PubMed2003

[Reconstruction of the mandible by an osteomuscular flap from the clavicle on the sternocleidomastoid muscle].

A method for mandible repair with a osteomusculocutaneous flap on the sternocleidomastoid muscle has been developed. This treatment was used in 25 patients. The flap healed in 23 (92%) patients. For plastic repair of the mandible defect with the opposite clavicle, the muscular pedicle was elongated by cutting muscle from the mastoid process. Special attention should be paid to fixation of the cutaneous part of the compound flap so that to prevent its tension and torsion of its pedicle. The presence of cervical metastases and previous radical radiotherapy are contraindications precluding the use of such a flap.

Adult↗
PubMed1976

Surgery of the clavicle in Sprengle's deformity.

Surgery for Sprengel's deformity can produce less lowering of the scapula than desired and occasionally can result in an injury to the brachial plexus or brachial artery. The method used to produce better correction and to avoid complications was a softening of a clavicle by the morcellization technique of Robinson et al. We feel that the procedure is a simple one which helps to improve the degree of correction and to avoid neurovascular complications. The procedure should be combined with the Woodward correction for Sprengel's deformity.

Child↗
PubMed2003

[Operative treatment of clavicle fractures in children].

We studied retrospectively, 23 fractures of the clavicle in children treated by K-wire stabilization between 1999 and 2001. We performed open reduction in 22 children. In one child percutaneous pinning was possible. The anatomical reduction was achieved in all cases. The postoperative course was uneventful in all cases, we didn't notice any infectious complication. The irritation of skin above the protruding end of pin was the only complaint. The pins were removed after 2-4 months. No any additional immobilisation was applied.

Adolescent↗
PubMed1992

[Fractures of the clavicle and secondary lesions of the brachial plexus].

The fractures of the clavicle are fundamentally minor and usually will heal by simple immobilization. When the trauma is severe, the fracture may cause a lesion of the subclavicular neuro-vascular bundle. However, if the lesion is limited it may appear clinically only a few days after the accident. In other cases, whether the clavicular fracture heals or not, the bone lesion may produce a hypertrophic callus. This phenomenon will cause a narrowing of the costo-clavicular outlet and a compression of the neurovascular bundle which will provoke a real TOS. The authors present 16 cases of clavicular fractures, two of which having had early neurovascular complications and the 14 others a late phenomenon of costo-clavicular syndrome. The pathogenesis of the lesions, the principles of treatment and the results are discussed.

Adult↗
PubMed2004

Fracture of the clavicle after surgical treatment for congenital pseudarthrosis.

BACKGROUND: Congenital pseudarthrosis of the clavicle is a rare disease. There are about 200 individual cases reported so far in world literature, mainly in the form of case reports. The majority of authors recommend surgical. An analysis of 103 cases published since 1980 shows only a few post-surgical complications. CASE REPORT: The authors present a female patient operated at the age of 4.5 years. During surgery both cartilaginous ends were resected and internal fixation was performed by a one-third semitubular plate fixed by 3.5 mm cortical screws. Ten days after hardware removal, a fracture occurred in the screw-hole following a minor impact. Surgery to heal the congenital pseudarthrosis was successful, but a new fracture occurred, resulting from bone weakening. This simple fracture was treated conservatively. At present (5 years after the first surgery) the patient's parents are completely satisfied with both the functional result and the cosmetic appearance. CONCLUSIONS: The authors have not found in the literature any reports of similar complications after surgical treatment of this condition. The use of more delicate osteosynthetic material might prevent the complication described here.

Child, Preschool↗
PubMedDate not supplied

[Post-traumatic osteolysis of the distal extremity of the clavicle].

Post-traumatic osteolysis of the acromial extremity of the clavicle is a rare condition, usually occurring sometime after an injury to the shoulder. Three cases of PTOAC and one case of athlete's osteolysis are reported. The semiology is summed up, as well as the differential diagnoses and the associated forms. This is a benign disease, which should be suggested by the clinical findings and diagnosed on the radiographs, which demonstrate early signs of osteolysis. The treatment is mainly based on immobilization.

Adult↗
PubMed2003

Acute subclavian artery pseudoaneurysm after closed fracture of the clavicle.

A sixty-year-old woman was admitted with an acute subclavian artery pseudoaneurysm after a closed fracture of the middle third of the right clavicle. This manifested itself a few days after the injury as a slowly growing, pulsatile and purple tumour-like mass in the right supraclavicular fossa. The distal pulses were normal, but this observation does not exclude a vascular trauma. This is an uncommon but potentially dangerous complication as it jeopardizes both the extremity and the life of the patient.

Aneurysm, False↗