Work

An unusual presentation of a depressed clavicle fracture in a child leading to venous congestion

Year: 2025

Type: article

Abstract: Clavicle fractures are common in children, comprising up to 15% of fractures presenting to the emergency department. Typically, mid-shaft clavicle fracture in the paediatric population is managed conservatively, with surgery recommended in a select few. A 12-year-old boy presented with a depressed mid-shaft clavicle fracture with an ipsilateral cervical rib exhibiting features of venous congestion. This case was managed conservatively using a sling and the patient was admitted for overnight observation with early mobilisation encouraged. His recovery was complicated by a re-fracture 4 weeks later, which was managed conservatively with a good clinical outcome. This is the first report of such a fracture associated with an ipsilateral cervical rib. This case highlights that such injuries with vascular concerns could be managed conservatively with good outcomes.

Source: Annals of The Royal College of Surgeons of England

DOI: 10.1308/rcsann.2025.0024

Authors: AC Pillai, JT Shajan, A Varma, AA Ishaq, MZ Farook

Institutions: NHS Grampian, University of Birmingham

Language: English

Topic: Shoulder and Clavicle Injuries

Subfield: Epidemiology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4411373849

FWCI:

Cites: 8

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Related to: 10