锁骨不愈合后复发性周围性栓塞

Recurrent peripheral embolism following nonunion of the clavicle.

作者信息

Sen Indrani, Varghese Viju Daniel, Stephen Edwin, Poonnoose Pradeep

机构信息

Department of Vascular Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

Department of Orthopaedic Surgery, Christian Medical College and Hospital, Vellore, Tamil Nadu, India.

出版信息

Indian J Orthop. 2014 May;48(3):329-31. doi: 10.4103/0019-5413.132530.

DOI:10.4103/0019-5413.132530

PMID:24932043

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4052036/

Abstract

Vascular complications in closed clavicular fractures are uncommon, with an incidence of only 0.4%. Subclavian artery injury can present acutely or can have a delayed presentation with arm ischemia. We report the case of an undetected subclavian pseudoaneurysm in a patient with a nonunion fracture clavicle who was referred with persistent ischemia following attempted brachial embolectomy at another center, along with a review of literature to support the hypothesis that in addition to repair of the aneurysm, treatment of the psuedarthrosis by fixation of the clavicle is essential.

摘要

闭合性锁骨骨折的血管并发症并不常见，发生率仅为0.4%。锁骨下动脉损伤可急性出现，也可表现为延迟性上肢缺血。我们报告了1例锁骨骨折不愈合患者未被发现的锁骨下假性动脉瘤病例，该患者在另一中心行肱动脉取栓术后仍持续缺血，现转诊至此，同时回顾文献以支持以下假说：除了修复动脉瘤外，通过固定锁骨治疗假关节至关重要。