Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, BC, Canada.
J Orthop Trauma. 2022 Oct 1;36(10):e399-e404. doi: 10.1097/BOT.0000000000002343.
Brachial plexopathy after conservative therapy or surgical treatment of clavicular fractures is an uncommon, yet serious complication that is associated with compression of the brachial plexus or the subclavian artery and vein because they traverse through the thoracic outlet. Surgical decompression of the brachial plexus is the recommended treatment if this condition is to occur. Although there are multiple reports of these cases in the literature, at present, there are no clear guidelines for their management. We are highlighting an institutional management algorithm, illustrated by a small retrospective case series, that uses a multidisciplinary approach in an effort to minimize complications associated with the management of clavicle nonunion.
锁骨骨折的保守治疗或手术治疗后发生臂丛神经病是一种不常见但很严重的并发症，与臂丛神经或锁骨下动静脉受压有关，因为它们穿过胸廓出口。如果发生这种情况，建议手术松解臂丛神经。尽管文献中有多篇关于这些病例的报告，但目前尚无明确的管理指南。我们强调了一种机构管理算法，通过一个小的回顾性病例系列说明了这一点，该算法采用多学科方法，努力最大限度地减少锁骨不愈合管理相关的并发症。
