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Case Reports in Orthopedics
Volume 2017 (2017), Article ID 5105670, 4 pages
Case Report

Successful Treatment of a 15-Year-Old Nonunion of a Midshaft Clavicle Fracture Causing Brachial Plexus Compression

Centre for Orthopaedic Surgery, OCON, P.O. Box 546, 7555 DL Hengelo, Netherlands

Correspondence should be addressed to Rianne M. H. A. Huis In ’t Veld

Received 23 April 2017; Revised 27 June 2017; Accepted 3 August 2017; Published 10 September 2017

Academic Editor: Zbigniew Gugala

Copyright © 2017 Annemarijn Teunis 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.


A 49-year-old man with a 15-year-old nonunion of a midshaft clavicle fracture suffered from progressive tingling in his entire arm and fingers for two years, due to irritation of the brachial plexus in the costoclavicular space, especially upon elevation of the arm. After open reduction and internal plate fixation, all symptoms were resolved and complete consolidation of the fracture was achieved at one-year follow-up. This case demonstrates two things: brachial plexus compression can occur even many years after a nonunion of a clavicle fracture and union can be still achieved, even in a longstanding nonunion.