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Late onset venous thoracic outlet syndrome following clavicle non-union fracture: A case report.
[thoracic outlet syndrome]
A
59
-
year
-old
woman
was
admitted
three
times
over
a
six
-
month
period
with
recurrent
upper
extremity
deep
venous
thrombosis
(
UEDVT
)
.
It
was
determined
that
this
patient
was
suffering
from
an
unusual
presentation
of
Paget
-
Schröetter
syndrome
secondary
to
a
20
-
year
-old
non-union
of
a
midshaft
clavicle
fracture
.
Following
thrombolysis
the
patient
underwent
resection
and
plate
fixation
of
the
clavicle
fracture
non-union
.
Despite
the
anatomic
proximity
of
the
subclavian
vessels
to
the
clavicle
,
vascular
complications
from
fracture
are
rare
.
Treatment
of
midshaft
clavicle
fractures
is
often
non-operative
.
Non-union
rates
are
generally
less
than
10
%
,
and
easily
treated
secondarily
without
complication
.
Clavicular
pseudo-arthroses
from
trauma
have
been
implicated
in
the
development
of
the
thoracic
outlet
syndromes
,
however
,
onset
20
years
after
fracture
has
never
before
been
reported
.