Conant Scott H, Hickerson Lindsay E
Department of Orthopedic Surgery and Rehabilitation, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
JBJS Case Connect. 2018 Jul-Sep;8(3):e65. doi: 10.2106/JBJS.CC.18.00016.
We report a case of prominent venous dilation in the supraclavicular area with an underlying arteriovenous fistula following nonoperative management of a fracture in the medial third of the clavicle in an adult. The venous dilation indicated elevated venous pressures, likely caused by hypertrophic callus formation and/or fistula development.
Arteriovenous fistula and prominent venous dilation are possible sequelae of nonoperative treatment of clavicular fractures. Surgeons should be aware of their possibility when planning either operative or nonoperative treatment. More information is needed to guide management of these issues when they occur.
我们报告一例成人锁骨内侧三分之一骨折非手术治疗后锁骨上区域出现明显静脉扩张并伴有潜在动静脉瘘的病例。静脉扩张提示静脉压升高,可能是由肥厚性骨痂形成和/或瘘管形成所致。
动静脉瘘和明显静脉扩张是非手术治疗锁骨骨折可能的后遗症。外科医生在计划手术或非手术治疗时应意识到其可能性。当这些问题出现时,需要更多信息来指导处理。