Feb 08
History (HX):
Paresis and pain of right upper extremity after trauma (2 months ago) and fracture of right clavicle
Male 74yr
Findings:
A displaced bone fragment is pressing on the retroclavicular part of the Brachial plexus. Narrowing of the costoclavicular space is seen with impingement on the Brachial plexus by the malunited fragments
Diagnostic (DX):
Fractured clavicle with Brachial plexus injury
Discussion:
Clavicular fractures are occasionally responsible for lesions of the Brachial plexus. The symptoms are usually delayed and due to compression by hypertrophic callus, nonunion or a subclavian pseudo aneurysm



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