Delayed presentation of Subclavian venous thrombosis following undisplaced clavicle fracture.docVIP

World Journal of Emergency Surgery BioMedCentral Review Open Access Delayed presentation of Subclavian venous thrombosis following undisplaced clavicle fracture Tony Kochhar*1, Chethan Jayadev1, Jay Smith2, Emmet Griffiths2 and Kamaljit Seehra3 Address: 1Department of Trauma Orthopaedics, Queens Hospital Romford, Essex, UK, 2Department of Trauma Orthopaedics, Hillingdon Hospital, Middlesex, UK and 3Department of Trauma and Orthopaedics, Norfolk and Norwich University Hospital, Colney Lane, Norwich, NR4 7UY, UK Email: Tony Kochhar* - tonykochhar@; Chethan Jayadev - cjayadev@; Jay Smith - jds003@; Emmet Griffiths - ejg299@; Kamaljit Seehra - kseehra@.uk * Corresponding author Published: 22 July 2008 Received: 10 March 2008 Accepted: 22 July 2008 World Journal of Emergency Surgery 2008, 3:25 doi:10.1186/1749-7922-3-25 This article is available from: /content/3/1/25 ? 2008 Kochhar et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract Medial clavicle fractures are uncommon, accounting for approximately 5 percent of all clavicle fractures. Vascular injuries are uncommon but are recognised as either an immediate complication due to transection of the vessel by the displaced fracture, or as a late complication, secondary to compression from abundant callus formation. We present an unusual case of positional venous insufficiency in the upper limb as an immediate complication of a closed, minimally displaced clavicle fracture, with secondary subclavian venous thrombosis formation eleven days following the injury. Background Review of the literature Injuries to the clavicle are very common and account for up to 10% of all fractures[2]. Midshaft and lateral third clavicle fractures are commo