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Revista Cubana de Ortopedia y Traumatología

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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
Full text How to cite this article

Language: Spanish
References: 10
Page: 116-123
PDF size: 506.36 Kb.


Key words:

thrombosis, limb, upper, extremity, fracture, clavicle, eight bandage.

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

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  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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

  8. 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.

  9. Engelberger R, Kucher N. Manejo de la trombosis venosa profunda de miembro superior. Puesta al día. Circulation. 2012;126:768-73.

  10. Jiménez-Castellanos J, Catalina CJ, Carmona A. Anatomía Humana General. 2007. p. 78.




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C?MO CITAR (Vancouver)

Revista Cubana de Ortopedia y Traumatología. 2016;30