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Nonoperative Management of Subclavian Artery Thrombosis in Pediatric Clavicle Fractures: A Case Report
Madeline M Lyons1, Adam M Holzmeister1, Teresa Cappello2
1Loyola University Medical Center; Maywood, Illinois.
Case:
A 12-year-old patient presented after a fall onto her upper extremity. She was found to have a mildly displaced clavicle fracture with a subclavian artery thrombosis. Given the reconstitution of flow distal to the thrombosis, the patient was treated nonoperatively in consultation with vascular surgery with anticoagulation and a sling for immobilization.
Conclusion:
This case highlights the importance of a thorough neurovascular examination even in a mildly displaced fracture. Nonoperatively managed thromboses may be treated successfully without orthopaedic fixation or vascular intervention, although the natural history of this injury is likely not fully understood.
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