Delayed brachial plexus paralysis due to subclavian pseudoaneurysm after clavicular fracture.
Injuries to the brachial plexus and subclavian artery are serious complications of shoulder girdle trauma. Due to the close anatomical relationship between the brachial plexus and the subclavian artery in the thoracic outlet, both structures are often simultaneously involved in shoulder girdle injuries. Isolated lesions of the subclavian artery or the brachial plexus can also occur, especially with clavicular fractures. When a false subclavian aneurysm leads to a gradually increasing compression of the brachial plexus, the neurological signs and symptoms develop insidiously after the traumatic event.
Hansky
B
B
Department of Thoracic and Cardiovascular Surgery, Heart Center North Rhine-Westfalia, University of Bochum, Bad Oeynhausen, Germany.
Murray
E
E
Minami
K
K
Körfer
R
R
D000328:Adult; D017541:Aneurysm, False / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D001917:Brachial Plexus / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries*; D050723:Fractures, Bone / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D009408:Nerve Compression Syndromes / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D009460:Neurologic Examination; D010243:Paralysis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013348:Subclavian Artery / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D013927:Thrombosis / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D014057:Tomography, X-Ray Computed