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A low energy paediatric clavicle fracture associated with acute brachial plexus injury and subclavian artery compression.
[thoracic outlet syndrome]
Paediatric
clavicle
fractures
are
common
injuries
presenting
to
orthopaedic
surgeons
.
The
majority
of
these
represent
midshaft
low
energy
fractures
,
which
in
the
vast
majority
of
cases
are
treated
non-operatively
and
recover
rapidly
.
The
main
indications
to
consider
operative
intervention
include
high
energy
of
injury
,
>
2
cm
shortening
,
open
fractures
and
associated
vascular
or
neurological
injuries
.
Brachial
plexus
(
BP
)
injuries
are
uncommon
with
variable
outcomes
.
They
often
result
from
high
energy
motorcycle
related
accidents
with
potentially
fatal
associated
injuries
such
as
vascular
disruption
.
Their
management
is
complex
,
requiring
expertise
,
and
they
are
therefore
usually
managed
in
supraregional
centres
.
We
present
a
unique
case
of
a
low
energy
midshaft
clavicle
fracture
in
a
paediatric
patient
in
whom
there
was
an
acute
BP
injury
and
subclavian
artery
compression
that
has
not
been
described
previously
.
Diseases
Validation
Diseases presenting
"high energy motorcycle"
symptom
thoracic outlet syndrome
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