Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Orthopedics
Volume 2015, Article ID 981293, 5 pages
http://dx.doi.org/10.1155/2015/981293
Case Report

Extrinsic Subclavian Vein Compression after Osteosynthesis of a Midshaft Clavicular Fracture in an Athlete

Institute of Orthopedics “Carlos E. Ottolenghi”, Italian Hospital of Buenos Aires, Potosi 4247, 1199 Buenos Aires, Argentina

Received 25 January 2015; Accepted 23 March 2015

Academic Editor: Nikolaos K. Kanakaris

Copyright © 2015 Luciano A. Rossi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Clavicle fractures are common injuries. Traditionally, nonsurgical management has been favored; however, recent evidence has emerged indicating that operative fixation produces lower nonunion rates, better functional outcomes, improved cosmesis, and greater patient satisfaction. Although clavicle fixation has been considered a safe procedure, several complications related to plate fixation have been reported. We report a case of a 21-year-old basketball player that had a vascular complication associated with internal fixation of a clavicle fracture. An external compression of the subclavian vein was attributed to a long screw of a precontoured clavicular plate. Although vascular complications associated with clavicle fixation are rare, they may be limb and even life threating. It is advisable that surgeons take measures to avoid them especially when placing the medial screws.