Enter your Email address:
Wolters Kluwer Health may email you for journal alerts and information, but is committed
to maintaining your privacy and will not share your personal information without
You currently have no recent searches
Prashanth, B R.1
1North Tyneside General Hospital, Rake lane, NorthShields, University of Newcastle Upon Tyne, Newcastle
A 35 year old jockey presented to our Accident & Emergency with a history of fall off a horse sustaining injuries to the chest and right shoulder. No history of Head injury.
GCS 15/15, marked tenderness over the middle third of right clavicle and tenderness over the 7th,8th and 9th ribs on the right side with decreased air entry on the same side. Patient had dyspnoea. No neurological deficit TEST AND RESULTS X ray, right shoulder revealed a displaced fracture of the middle third clavicle and pneumothorax seen on chest x ray. INITIAL TREATMENT Broad arm sling, insertion of intercostal drainage tube. Patient discharged two weeks later with no neurology.
Swelling over the right clavicle and gradual progressive weakness of the entire upper limb.
Nontender swelling over the right clavicle, marked weakness of shoulder abduction and wrist and finger extension.
X-ray revealed union of the fracture with massive callus. Nerve conduction study showed a postganglionic brachial plexus injury.
Secondary brachial plexus injury due to fracture clavicle.
Resection of part of the clavicle and the encroaching callus from the undersurface of clavicle. Patient had no improvement in the first week after surgery, but improved after the third week and had full recovery by the fifth month.
Neurological complications in clavicle fractures are uncommon. As a primary lesion it is caused by trauma itself. Secondarily neuology may develop due to massive callus compressing the brachial plexus. Resection of the clavicle would appear to be the treatment of choice to relieve compression. Only a few reports of the injury are available in the literature. This case is reported for its rarity.
©2003The American College of Sports Medicine
Colleague's E-mail is Invalid
Your Name: (optional)
Separate multiple e-mails with a (;).
Thought you might appreciate this item(s) I saw at Medicine & Science in Sports & Exercise.
Send a copy to your email
Your message has been successfully sent to your colleague.
Some error has occurred while processing your request. Please try after some time.
An Existing Folder
A New Folder
The item(s) has been successfully added to "".
Login with your LWW Journals username and password.
Username or Email:
Enter and submit the email address you registered with. An email with instructions to reset your password will be sent to that address.
Link to reset your password has been sent to specified email address.
What does "Remember me" mean?
By checking this box, you'll stay logged in until you logout. You'll get easier access to your articles, collections,
media, and all your other content, even if you close your browser or shut down your
To protect your most sensitive data and activities (like changing your password),
we'll ask you to re-enter your password when you access these services.
What if I'm on a computer that I share with others?
If you're using a public computer or you share this computer with others, we recommend
that you uncheck the "Remember me" box.
Save my selection