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 .

Diseases
Validation

Diseases presenting "however" symptom

adrenal incidentaloma

alexander disease

alpha-thalassemia

aromatase deficiency

benign recurrent intrahepatic cholestasis

cushing syndrome

dedifferentiated liposarcoma

dracunculiasis

dystrophic epidermolysis bullosa

esophageal carcinoma

focal myositis

heparin-induced thrombocytopenia

hodgkin lymphoma, classical

hydrocephalus with stenosis of the aqueduct of sylvius

junctional epidermolysis bullosa

krabbe disease

lamellar ichthyosis

megacystis-microcolon-intestinal hypoperistalsis syndrome

monosomy 21

neuralgic amyotrophy

oculocutaneous albinism

omenn syndrome

primary hyperoxaluria type 1

pyruvate dehydrogenase deficiency

sneddon syndrome

thoracic outlet syndrome

von hippel-lindau disease

wiskott-aldrich syndrome

x-linked adrenoleukodystrophy

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