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Iatrogenic giant subclavian artery pseudoaneurysm following clavicle fracture repair: A case report.锁骨骨折修复术后医源性巨大锁骨下动脉假性动脉瘤：一例报告。
Radiol Case Rep. 2023 Apr 29;18(7):2339-2342. doi: 10.1016/j.radcr.2023.03.045. eCollection 2023 Jul.
2
Pseudoaneurysm of the subclavian artery as a delayed complication of a clavicle fracture.锁骨骨折后迟发性并发症：锁骨下动脉假性动脉瘤。
BMJ Case Rep. 2023 May 2;16(5):e252430. doi: 10.1136/bcr-2022-252430.
3
Surgical Management of Delayed Brachial Plexopathy After Clavicle Nonunion.锁骨骨不连后迟发性臂丛神经病的手术治疗。
J Orthop Trauma. 2022 Oct 1;36(10):e399-e404. doi: 10.1097/BOT.0000000000002343.
4
Transient Brachial Plexopathy After Fixation of a Clavicle Fracture Nonunion: A Case Report.锁骨骨折不愈合固定后短暂性臂丛神经病：1 例报告。
JBJS Case Connect. 2020 Apr-Jun;10(2):e0434. doi: 10.2106/JBJS.CC.19.00434.
5
Clavicle fixation screw impingement causing subclavian artery pseudoaneurysm.锁骨固定螺钉撞击导致锁骨下动脉假性动脉瘤。
Radiol Case Rep. 2019 Jul 29;14(9):1148-1150. doi: 10.1016/j.radcr.2019.07.002. eCollection 2019 Sep.
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Delayed Subclavian Artery Aneurysm Following Fixation of a Clavicular Fracture.锁骨骨折固定术后迟发性锁骨下动脉瘤
Vasc Endovascular Surg. 2018 Aug;52(6):459-462. doi: 10.1177/1538574418770105. Epub 2018 Apr 26.
7
Compressive Brachial Plexopathy After Fixation of a Clavicular Fracture Nonunion: A Case Report.锁骨骨折不愈合固定术后压迫性臂丛神经病变：一例报告
JBJS Case Connect. 2012 Apr-Jun;2(2):e26. doi: 10.2106/JBJS.CC.K.00124.
8
Fatal Air Embolus During Internal Fixation of the Clavicle: A Case Report.锁骨内固定术中致命性空气栓塞：一例报告
JBJS Case Connect. 2013 Jan-Mar;3(1):e24. doi: 10.2106/JBJS.CC.L.00194.
9
Major neurovascular complications of clavicle fracture surgery.锁骨骨折手术的主要神经血管并发症。
Shoulder Elbow. 2015 Jan;7(1):3-12. doi: 10.1177/1758573214546058. Epub 2014 Aug 1.
10
Progressive Brachial Plexus Palsy after Osteosynthesis of an Inveterate Clavicular Fracture.陈旧性锁骨骨折内固定术后的进行性臂丛神经麻痹
J Orthop Case Rep. 2013 Jul-Sep;3(3):18-21. doi: 10.13107/jocr.2250-0685.109.

锁骨骨折固定术后的神经血管并发症：发生时间、机制及临床意义

Neurovascular Complications Following Clavicle Fracture Fixation: Timing, Mechanisms, and Clinical Implications.

作者信息

Borole Aryan, Vitkovska Diana, Yang Jason, Avendano John P, Monica James, Katt Brian M

机构信息

Department of Orthopedic Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, USA.

出版信息

Cureus. 2024 Nov 26;16(11):e74512. doi: 10.7759/cureus.74512. eCollection 2024 Nov.

DOI:10.7759/cureus.74512
PMID:39726444
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11671113/
Abstract

This review addresses the neurovascular complications associated with the surgical treatment of clavicle fractures through open reduction and internal fixation (ORIF). Despite being a generally safe procedure, it can lead to severe complications including brachial plexopathy, pseudoaneurysm, arteriovenous fistulas (AVF), deep vein thrombosis (DVTs), and thoracic outlet syndrome (TOS). One significant observation, not often highlighted in previous literature, is that neurovascular complications are more common in cases involving delayed fixation, nonunion, or malunion, compared to those treated acutely. This review emphasizes the impact of the timing of surgery on the frequency of these rare complications and examines their underlying mechanisms.

摘要

本综述探讨了与锁骨骨折切开复位内固定术（ORIF）手术治疗相关的神经血管并发症。尽管该手术总体上是安全的，但它可能导致严重并发症，包括臂丛神经病变、假性动脉瘤、动静脉瘘（AVF）、深静脉血栓形成（DVT）和胸廓出口综合征（TOS）。一个在以往文献中不常被强调的重要观察结果是，与急性治疗的病例相比，神经血管并发症在涉及延迟固定、骨不连或畸形愈合的病例中更为常见。本综述强调了手术时机对这些罕见并发症发生频率的影响，并探讨了其潜在机制。