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Clavicular Fracture Associated with Life-Threatening Hemorrhage: A Case Report
Brian Campfield1, O Sam Barzideh2
1Missouri Orthopaedic Institute, Columbia, Missouri.
Case:
A sixty-four-year-old woman sustained a displaced midshaft clavicular fracture. Shortly after admission to the hospital, she developed symptoms of hypovolemic shock as well as neurologic compromise of the ipsilateral upper extremity. Her workup demonstrated a large periclavicular hematoma. She underwent surgical exploration, during which a subclavian artery laceration was identified and repaired.
Conclusion:
This case serves as a reminder to the treating physician to maintain an appropriate index of suspicion for associated injuries when treating clavicular fractures.
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