Alzahrani MM. Late brachial plexopathy after a mid-shaft clavicle fracture: A case report. World J Orthop 2023; 14(10): 776-783 [PMID: 37970622 DOI: 10.5312/wjo.v14.i10.776]
Corresponding Author of This Article
Mohammad M Alzahrani, FRSC, MBBS, MSc, Assistant Professor, Department of Orthopaedic Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, King Faisal Road, Dammam 31441, Saudi Arabia. mmalzahrani@iau.edu.sa
Research Domain of This Article
Orthopedics
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Orthop. Oct 18, 2023; 14(10): 776-783 Published online Oct 18, 2023. doi: 10.5312/wjo.v14.i10.776
Late brachial plexopathy after a mid-shaft clavicle fracture: A case report
Mohammad M Alzahrani
Mohammad M Alzahrani, Department of Orthopaedic Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia
Author contributions: Alzahrani MM contributed to the concept, design, study execution, manuscript writing and review.
Informed consent statement: The patient was informed that data concerning the case would be submitted for publication and patient agreed.
Conflict-of-interest statement: The author has no relevant conflict of interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Mohammad M Alzahrani, FRSC, MBBS, MSc, Assistant Professor, Department of Orthopaedic Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, King Faisal Road, Dammam 31441, Saudi Arabia. mmalzahrani@iau.edu.sa
Received: August 1, 2023 Peer-review started: August 1, 2023 First decision: September 4, 2023 Revised: September 5, 2023 Accepted: September 22, 2023 Article in press: September 22, 2023 Published online: October 18, 2023
Abstract
BACKGROUND
Clavicle fractures can rarely be associated with brachial plexus injury. These are commonly caused by tractional injury at the time of trauma, but unfrequently can be caused by compression of the brachial plexus from excessive callus or granulation tissue formation.
CASE SUMMARY
We report a rare case of an adult male who sustained a mid-shaft clavicle fracture and had a late presentation of brachial plexus palsy due to compression from excessive callus formation.
CONCLUSION
We reported a case of a rare occurrence of delayed brachial plexus palsy due to compression from excessive callus formation in a midshaft clavicle fracture. Early diagnosis and surgical decompression of the brachial plexus is critical, as when managed efficiently, a full recovery of the brachial plexus palsy can be expected in these patients.
Core Tip: Brachial plexus palsy due to compression from excessive callus formation in a midshaft clavicle fracture is a rare occurrence. We reported a case of a of delayed brachial plexus palsy due to compression from excessive callus formation in a midshaft clavicle fracture. Early diagnosis and surgical decompression of the brachial plexus is critical for improved patient outcomes.
