Unusual Presentation of a Clavicle Fracture Locked Under the First Rib with Global Brachial Plexus Injury: A Case Report. Issue 1 (2nd January 2022)

• Record Type: Journal Article
• Authors: Babu, T. Shanmukha; Devendra, Agraharam; Venkatramani, Hari; Bharadwaj, Praveen; Dheenadhayalan, Jayaramaraju; Rajasekaran, Shanmuganathan
• Is Part Of: JBJS case connector. Volume 12:Issue 1(2022)
• Publication Date: 2022-01-02
• Subjects: clavicle fracture -- brachial plexus palsy -- locked underneath the first rib -- nerve transfer; Orthopedic surgery -- Case studies -- Periodicals; Orthopedic surgery -- Periodicals; Orthopedics; Orthopedic Procedures; Orthopedic surgery; Periodicals; Electronic journals; Case studies; Periodicals; 616.7
• DOI: 10.2106/JBJS.CC.20.00814
• Languages: English
• ISSNs: 2160-3251

Abstract

Abstract : Case: Thoracic penetration of the medial half of clavicle fracture is rare and can be life-threatening and limb-threatening because of its proximity to the pleura and neurovascular structures. We report an unusual presentation of the medial portion of clavicle fracture locked under the first rib associated with the pneumothorax and global brachial plexus palsy successfully reduced by gentle manipulation. Partial injury to the subclavian vein was repaired. Nerve transfer was performed for brachial plexus palsy. The patient showed good functional recovery. Conclusion: Reduction of locked intrathoracic clavicle fracture was performed safely by gentle manipulation. Subsequent appropriate interventions for the brachial plexus palsy led to a good outcome.