Blum Jennifer, Krumrey Jacqueline
Orthopedic Surgery, Western University of Health Sciences, College of Osteopathic Medicine of the Pacific - Northwest, Lebanon, USA.
Orthopedics and Traumatology, Good Samaritan Regional Medical Center, Corvallis, USA.
Cureus. 2023 Apr 20;15(4):e37894. doi: 10.7759/cureus.37894. eCollection 2023 Apr.
Clavicle fractures are relatively common with the majority treated non-operatively. However, venous thromboembolism (VTE) in association with these fractures is rare, despite conservative treatment involving immobilization rather than surgical intervention. Surgery is a risk factor for thromboembolism and therefore more common when clavicle fractures are treated operatively. There have been a few published case reports of VTE following clavicle fractures that were managed non-operatively. Here we present a unique case of VTE involving the subclavian, brachial, and radial vein following a low-energy injury, with radial involvement being the most distal to date. A literature review is also presented to compare locations of VTE, injury factors, and timeline from injury to VTE presentation.
锁骨骨折相对常见，大多数采用非手术治疗。然而，尽管保守治疗包括固定而非手术干预，但与这些骨折相关的静脉血栓栓塞（VTE）却很少见。手术是血栓栓塞的一个危险因素，因此在锁骨骨折进行手术治疗时更为常见。已有一些关于非手术治疗锁骨骨折后发生VTE的病例报告发表。在此，我们报告一例独特的VTE病例，该病例发生于低能量损伤后，累及锁骨下静脉、肱静脉和桡静脉，其中桡静脉受累是迄今为止最远端的。我们还进行了文献综述，以比较VTE的发生部位、损伤因素以及从受伤到出现VTE的时间线。
