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Related Experiment Videos

Simon Bøtker Kongsvad Andersen1, Søren Rasmussen Deutch1

  • 1Ortopødkirurgisk Afdeling, Regionshospitalet Randers.

Ugeskrift for Laeger
|November 22, 2024
PubMed
Summary
This summary is machine-generated.

A 57-year-old man developed deep vein thrombosis (DVT) in his left arm 41 years after a clavicle fracture. Treatment involved thrombolysis and surgery to relieve vein compression from the non-healed fracture.

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Area of Science:

  • Vascular Surgery
  • Orthopedic Surgery
  • Radiology

Background:

  • Deep vein thrombosis (DVT) of the upper extremity is less common than lower extremity DVT.
  • Unresolved clavicle fractures can lead to long-term complications.
  • Jugular vein compression is a rare cause of upper extremity DVT.

Observation:

  • A 57-year-old male presented with left upper extremity deep vein thrombosis.
  • Imaging revealed pseudoarthrosis of the clavicle compressing the left jugular vein.
  • The patient had a history of clavicle fracture 41 years prior.

Findings:

  • Successful thrombolysis resolved the acute DVT.
  • Operative decompression and osteosynthesis addressed the underlying clavicle pseudoarthrosis.

Related Experiment Videos

  • This case demonstrates a delayed presentation of venous compression syndrome secondary to a malunited clavicle fracture.

    • Implications:

    • Clinicians should consider chronic musculoskeletal injuries as a cause of upper extremity DVT.
    • Early recognition and management of clavicle fractures may prevent long-term vascular complications.
    • This case underscores the importance of a comprehensive diagnostic approach for upper extremity DVT.