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Arteriovenous Fistula Development After Nonoperative Treatment of a Clavicular Fracture

A Case Report

Conant, Scott H., MD1,a; Hickerson, Lindsay E., MD1

doi: 10.2106/JBJS.CC.18.00016
Case Reports
Disclosures

Case: We report a case of prominent venous dilation in the supraclavicular area with an underlying arteriovenous fistula following nonoperative management of a fracture in the medial third of the clavicle in an adult. The venous dilation indicated elevated venous pressures, likely caused by hypertrophic callus formation and/or fistula development.

Conclusion: Arteriovenous fistula and prominent venous dilation are possible sequelae of nonoperative treatment of clavicular fractures. Surgeons should be aware of their possibility when planning either operative or nonoperative treatment. More information is needed to guide management of these issues when they occur.

1Department of Orthopedic Surgery and Rehabilitation, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma

aE-mail address for S.H. Conant: Scott-conant@ouhsc.edu

Copyright © 2018 by The Journal of Bone and Joint Surgery, Incorporated
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