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Ann R Coll Surg Engl · Jul 2010
Case ReportsUpper limb deep vein thrombosis: a potentially fatal complication of a clavicle fracture.
- R Ek Jones, P A McCann, D A Clark, and P Sarangi.
- Department of Trauma and Orthopaedics, Bristol Royal Infirmary, Bristol, UK. rj2483@doctors.org.uk
- Ann R Coll Surg Engl. 2010 Jul 1;92(5):W36-8.
AbstractWe present a case a 48-year-old man who was diagnosed with an upper limb deep vein thrombosis post clavicle fracture. He was successfully investigated with a computed tomography (CT) venogram, thrombophilia was excluded, and he was subsequently treated with a 3-month course of anticoagulation. We illustrate this case with photographs and a three-dimensional colour reconstruction of a CT venogram to raise awareness of the condition. A suitable level of clinical suspicion should be maintained by the orthopaedic surgeon; delayed arm swelling with venous congestion following a clavicle fracture should be investigated with CT venography and thrombophilia should be excluded.
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