• Daniel J Wong, Tammy M Holm, George S M Dyer, and Jonathan D Gates.
• Yale University School of Medicine, New Haven, CT, USA.
• Vascular. 2015 Apr 1; 23 (2): 183-7.

AbstractA 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.© The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

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