Transient Brachial Plexopathy after Fixation of a Clavicle Fracture Nonunion: A Case Report

Connor S. Johnson; Joshua B. Acebo; Kessiena Aya; Jeremy S. Somerson

doi:10.2106/JBJS.CC.19.00434

Transient Brachial Plexopathy after Fixation of a Clavicle Fracture Nonunion: A Case Report

Connor S. Johnson, Joshua B. Acebo, Kessiena Aya, Jeremy S. Somerson

Research output: Contribution to journal › Article › peer-review

Abstract

Case:A 54-year-old man presented with a comminuted left midclavicle fracture that progressed to a symptomatic nonunion after nonsurgical management. Nonunion open reduction and internal fixation (ORIF) was performed, but a left brachial plexopathy developed 48 hours postoperatively. Imaging failed to demonstrate an emergent cause. The patient was monitored and completely recovered, with occasional neuralgia and mildly limited forward elevation of the shoulder.Conclusion:Development of a brachial plexopathy 48 hours after routine clavicle nonunion ORIF using plate fixation is an unusual complication. Future studies are needed to determine if this "wait-and-see"approach can be generalized to similar cases.

Original language	English (US)
Journal	JBJS case connector
Volume	10
Issue number	2
DOIs	https://doi.org/10.2106/JBJS.CC.19.00434
State	Published - May 19 2020
Externally published	Yes

ASJC Scopus subject areas

Surgery
Orthopedics and Sports Medicine

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10.2106/JBJS.CC.19.00434

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abstract = "Case:A 54-year-old man presented with a comminuted left midclavicle fracture that progressed to a symptomatic nonunion after nonsurgical management. Nonunion open reduction and internal fixation (ORIF) was performed, but a left brachial plexopathy developed 48 hours postoperatively. Imaging failed to demonstrate an emergent cause. The patient was monitored and completely recovered, with occasional neuralgia and mildly limited forward elevation of the shoulder.Conclusion:Development of a brachial plexopathy 48 hours after routine clavicle nonunion ORIF using plate fixation is an unusual complication. Future studies are needed to determine if this {"}wait-and-see{"}approach can be generalized to similar cases.",

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AU - Somerson, Jeremy S.

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N2 - Case:A 54-year-old man presented with a comminuted left midclavicle fracture that progressed to a symptomatic nonunion after nonsurgical management. Nonunion open reduction and internal fixation (ORIF) was performed, but a left brachial plexopathy developed 48 hours postoperatively. Imaging failed to demonstrate an emergent cause. The patient was monitored and completely recovered, with occasional neuralgia and mildly limited forward elevation of the shoulder.Conclusion:Development of a brachial plexopathy 48 hours after routine clavicle nonunion ORIF using plate fixation is an unusual complication. Future studies are needed to determine if this "wait-and-see"approach can be generalized to similar cases.

AB - Case:A 54-year-old man presented with a comminuted left midclavicle fracture that progressed to a symptomatic nonunion after nonsurgical management. Nonunion open reduction and internal fixation (ORIF) was performed, but a left brachial plexopathy developed 48 hours postoperatively. Imaging failed to demonstrate an emergent cause. The patient was monitored and completely recovered, with occasional neuralgia and mildly limited forward elevation of the shoulder.Conclusion:Development of a brachial plexopathy 48 hours after routine clavicle nonunion ORIF using plate fixation is an unusual complication. Future studies are needed to determine if this "wait-and-see"approach can be generalized to similar cases.

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Transient Brachial Plexopathy after Fixation of a Clavicle Fracture Nonunion: A Case Report

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