[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.
Della Santa
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DR
Unité de Chirurgie de la Main, HCU, Genève.
Narakas
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AO
D000328:Adult; D001917:Brachial Plexus / Q000293:injuries*; D002648:Child; D002968:Clavicle / Q000293:injuries*; D005260:Female; D005593:Fracture Fixation, Internal; D017102:Fracture Healing / Q000502:physiology; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D008297:Male; D008866:Microsurgery; D008875:Middle Aged
Fractures de la clavicule et lésions secondaires du plexus brachial.