Rare Case of a Doubly Complicated Clavicle Fracture in a Cyclist

Rhita Salah, Naoufal El Ghoul, Kamal El Mokhtari, Azzelarab Bennis, Omar Zaddoug, Mohamed Benchakroun, Ali Zine, Mansour Tanane, Salim Bouabid

Abstract


Fractures of the clavicle represent 2.6 to 5% of all fractures. Respiratory and vascular-nerve complications of isolated clavicle fractures are rare. We report the case of a 29-year-old cyclist who presented a fracture of the right clavicle following a sport accident, complicated by both pneumothorax and deep vein thrombosis of axillary vein. Patient underwent thoracic drainage and curative anticoagulation followed by internal osteosynthesis of the clavicle as soon as he was stabilized on respiratory level. At the last check-up, the clavicle healed and no recurrence of pneumothorax nor deep vein thrombosis was noted.

Keywords


Clavicle, Cyclist, Fracture, Pneumothorax, Deep vein thrombosis

Full Text:

PDF

References


BOUILLET, B., MOREEL, P., et DESCAMPS, S. Prise en charge des fractures récentes de la clavicule. Journal de traumatologie du sport, 2009, vol. 26, no 1, p. 24-31.

Robinson, C. M. (1998). Fractures of the clavicle in the adult: epidemiology and classification. The Journal of bone and joint surgery. British volume, 80(3), 476-484.

Meeks, R. J., & Riebel, G. D. (1991). Isolated clavicle fracture with associated pneumothorax: a case report. The American journal of emergency medicine, 9(6), 555-556.

Prescott, S. M., & Tikoff, G. E. R. A. S. I. M. (1979). Deep venous thrombosis of the upper extremity: a reappraisal. Circulation, 59(2), 350-355.

Manjaoui, J., Benchbba, D., Jaafar, A., Sirbou, R., Belyamani, L., & Dimou, M. (2011). Thrombose veineuse profonde du membre supérieur compliquant une fracture de la clavicule. À propos d’un cas. Journal de traumatologie du sport, 28(1), 41-43.

Heron, E. (2009). Thromboses veineuses profondes des membres supérieurs. Encycl Med Chir Pneumologie 6-024-B-27.

Hani, R., Ennaciri, B., Jeddi, I., Bardouni, A. E., Mahfoud, M., & Berrada, M. S. (2015). Pneumothorax complicating isolated clavicle fracture. Pan African Medical Journal, 21(1).

Feriani, N., Ben Ghezala, H., & Snouda, S. (2016). Pneumothorax caused by an isolated midshaft clavicle fracture. Case reports in emergency medicine, 2016.

Rowe, C. R. (1968). 4 An Atlas of Anatomy and Treatment of Midclavicular Fractures. Clinical Orthopaedics and Related Research (1976-2007), 58, 29-42.

Landine, J., McGraw, R., & Pickett, W. (2001). Clinical diagnosis of clavicle fractures: a pilot study. Canadian Journal of Emergency Medicine, 3(2), 95-98.




DOI: https://doi.org/10.7575/aiac.abcmed.v.10n.2p.4

Refbacks

  • There are currently no refbacks.




Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

2013-2023 (CC-BY) Australian International Academic Centre PTY.LTD.

Advances in Bioscience and Clinical Medicine