We describe a patient who sustained a widely displaced, high-energy, mid-shaft clavicular fracture in association with brachial plexus damage. The distal fragment was subsequently found to have penetrated the thoracic cavity. We describe the treatment of this rare injury with a successful outcome.

Submit Manuscript | http://medcraveonline.com Abbreviations: CT: Computed Tomography; MRI: Magnetic Resonance Imaging; RCT: Rotator cuff tears; AHI: Acromio Humeral Interval; AP: Anterior Posterior; AC: Acromio Clavicular; NSAIDs: Non-Steroidal Anti-Inflammatory Drug; ECM: Extra Cellular Matrix; ASCR: Arthroscopic Superior Capsule Reconstruction; CTA: Cuff Tear Arthropathy; RTSA: Reverse Total ...

Thoracic outlet syndrome (TOS) due to thoracic trauma is a rare disorder. Surgical treatment of TOS is especially rare. We report here a case of traumatic TOS caused by right 1st rib and clavicular fracture after a traffic accident. The patient underwent first rib resection and open reduction with fixation of the clavicle through axillary and supraclavicular incisions.

Context: The use of ultrasound in regional anaesthesia has resulted in reduction in local anaesthetic volume and adverse effects. Aim : This study aims to compare the quality of analgesia and incidence of adverse effects using two different volumes of 0.5 % bupivacaine for clavicular surgeries by ultrasound guided combined interscalene and superficial cervical plexus block. Settings and Design:...

There is no consensus on the optimal treatment for mid-shaft clavicular fracture. We conducted a meta-analysis to compare the effectiveness of non-operative treatment, plate fixation, and intramedullary pin fixation in terms of the Constant-Murley Score (CMS) for treatment of mid-shaft clavicular fracture. Comprehensive search of the Embase, Cochrane Library and PubMed was conducted to retrieve...

BACKGROUND Total claviculectomy has been used for the treatment of tumor, infection, nonunion, and vascular compromise. Given its limited indications, few reports on the outcome after claviculectomy exist. The purpose of the present study was to evaluate the function of the shoulder, with use of a modern scoring system, after total claviculectomy. METHODS A retrospective review of the records...

A true costoclavicular mass syndrome associated with a brachial plexopathy is rare. We report the occurrence of a severe brachial plexopathy as a late complication of a displaced midclavicular fracture. An exuberant callus associated with the clavicular fracture acted as a mass lesion to compress the brachial plexus within the costoclavicular space (i.e., between the clavicle and the first rib)...

Dislocation of the clavicle, either at the acromial or sternal end, is much less common than fracture ; and retrosternal dislocation is so unusual that there is little reference to it in the literature. Standard text-books on fractures and dislocations ignore the condition completely, or dismiss it in a few lines. The rarity of the injury, the typical signs and symptoms, and the grave potential...

BACKGROUND Clavicular prominence is common in patients with symptomatic degenerative sternoclavicular arthritis. It is unclear if this is caused by enlargement or subluxation of the clavicle. The aim of this report is to describe a reproducible measurement technique to evaluate the relationship of the medial clavicular head to the manubrium. METHODS One hundred normal sternoclavicular joints,...