Department of Orthopaedic Surgery, Stanford University School of Medicine, Stanford, California.
Department of Vascular Surgery, Stanford University School of Medicine, Stanford, California.
JBJS Case Connect. 2021 Mar 10;11(1):01709767-202103000-00048. doi: e20.00243.
We report the case of a 29-year-old man with a displaced mid-diaphyseal clavicle fracture that healed in anatomic position without fracture callus after surgical treatment but developed symptoms of late venous thoracic outlet syndrome (TOS) 19 months postoperatively. He was diagnosed with proximal subclavian vein thrombosis and was treated with urgent thrombolysis and staged first rib resection with resolution of symptoms.
Late venous TOS is a potential complication of clavicle fracture, even in the setting of anatomic reduction and primary bone healing. This entity has previously only been described in the setting of nonunion and malunion.
我们报告了 1 例 29 岁男性患者，其锁骨中段骨折发生明显移位，经手术治疗后解剖复位且无骨痂形成，但术后 19 个月时出现迟发性静脉型胸廓出口综合征（TOS）的症状。该患者被诊断为近端锁骨下静脉血栓形成，并接受了紧急溶栓治疗和分期第一肋骨切除术，症状得以缓解。
迟发性静脉型 TOS 是锁骨骨折的潜在并发症，即使骨折解剖复位和原发性愈合也是如此。该病症以前仅在骨折不愈合和畸形愈合的情况下被描述过。
