title: [Missed clavicle fracture, deep vein thrombosis following bicycle accident with head and chest trauma].
abstract: A 57-year-old patient suffered head and chest trauma following a bicycle accident. After 12 days in hospital with early mobilization the patient developed a deep vein thrombosis 5 days after being discharged and the family physician diagnosed a non-displaced clavicle fracture. The patient complained that no thrombosis prophylaxis had been carried out during the stay in hospital and the clavicle fracture had been overlooked. The expert opinion from the arbitration board determined that no health limitations had occurred as a result of the missed clavicle fracture. There were no indications for anticoagulation in accordance with the guidelines due to a lack of risk factors and the event was deemed unpreventable.
authors.affiliation: Chirurgische Klinik und Poliklinik, Klinikum der Ludwig-Maximilians-Universität München, Campus Innenstadt, Nussbaumstr. 20, 80336, München, Germany. karl-georg.kanz@med.uni-muenchen.de
authors.forename: K-G
authors.initials: KG
authors.lastname: Kanz
authors.forename: J
authors.initials: J
authors.lastname: Neu
mesh_terms: D000925:Anticoagulants / Q000008:administration & dosage; D001265:Athletic Injuries / Q000175:diagnosis*; D001642:Bicycling / Q000293:injuries*; D001924:Brain Concussion / Q000175:diagnosis*; D002968:Clavicle / Q000293:injuries*; D003951:Diagnostic Errors / Q000331:legislation & jurisprudence*; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005500:Follow-Up Studies; D050723:Fractures, Bone / Q000175:diagnosis*; D005858:Germany; D006801:Humans; D008159:Lumbar Vertebrae / Q000293:injuries; D008297:Male; D008318:Malpractice / Q000331:legislation & jurisprudence*; D019300:Medical Errors / Q000331:legislation & jurisprudence*; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis*; D010644:Phenprocoumon / Q000008:administration & dosage; D054070:Postthrombotic Syndrome / Q000175:diagnosis / Q000188:drug therapy; D012253:Rib Fractures / Q000175:diagnosis; D016103:Spinal Fractures / Q000175:diagnosis; D013898:Thoracic Injuries / Q000175:diagnosis*; D014057:Tomography, X-Ray Computed; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000925:Anticoagulants; D010644:Phenprocoumon