2016, Number 1
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Revista Cubana de Ortopedia y Traumatología 2016; 30 (1)
Upper-extremity massive deep vein thrombosis secondary of broken collarbone
Úbeda-Pérez HÍ, Sobrá-Hidalgo GÁ, Montañés-Uceda AJ, Rubio-García J, Ansede-Alonso JC, Moreno EMC
Language: Spanish
References: 10
Page: 116-123
PDF size: 506.36 Kb.
ABSTRACT
Upper-extremity deep vein thrombosis is a rare entity that is associated with the use
of catheters, hypercoagulable states, oral contraceptives, neoplasias, cervical rib or
scalene syndrome, clavicle fractures and stress induced thrombosis. A 53 year male
patient is presented here. He developed thrombosis of the axillary, cephalic and
basilica veins three days after suffering a fractured middle third clavicle, which was
initially immobilized with eight-bandage. The condition was solved with enoxaparin
sodium and functional rehabilitation; clavicle fracture consolidated and thrombosed
veins had recanalization. Some cases of thrombosis of the axillary or subclavian veins
caused by clavicular fractures have been reported. It is very rare the occurrence of
extensive thromboses affecting several veins, in this case, secondary to trauma or
pressure exerted by the bandage.
REFERENCES
Peivandi MT, Nazemian Z. Clavicular fracture and upper-extremity deep venous thrombosis. Orthopedics. 2011 Mar;34(3):227.
Sabeti S, Schillinger M, Mlekusch W, Haumer M, Ahmadi R, Minar E. Treatment of subclavian-axilary vein thrombosis: long-term outcome of anticoagulation versus systemic thrombolysis. Thromb Res. 2002;108:279-85.
Prandoni P, Polistena P, Bernardi E, Cogo A, Casra D, Verlato F, et al. Upperextremity deep vein thrombosis. Risk factors, diagnosis and complications. Arch Intern Med. 1997;157:57-62.
Shennib H, Hicle K, Bowles B. Axillary vein thrombosis induced by an increasingly popular oscillating dumbbell exercise device: a case report. J Cardiothorac Surg. 2015;10:73.
Van Der Mejiden OA, Gaskill TR, Millet PJ. Treatment of clavicle fractures: current concepts review. J Shoulder Elbow Surg. 2012 Mar;21(3):423-9.
Andersen K, Jensen PO, Lauritzen J. Treatment of clavicular fractures. Figure-of-eight bandage versus a simple sling. Acta Orthopaedica Scandinavica. 1987;58(1):71-4.
Lenza M, Belloti JC, Andriolo RB, Gomes Do Santos JB, Faloppa F. Conservative interventions for treating middle third clavicle fractures in adolescents and adults. Cochrane Database Syst Rev. 2009;(2):CD007121
Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicentre, randomized clinical trial. J Bone Joint Surg Am. 2007;89(1):1-10.
Engelberger R, Kucher N. Manejo de la trombosis venosa profunda de miembro superior. Puesta al día. Circulation. 2012;126:768-73.
Jiménez-Castellanos J, Catalina CJ, Carmona A. Anatomía Humana General. 2007. p. 78.