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 journalArticle

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 languageEnglish (US)
Pages (from-to)e0434
JournalJBJS case connector
Volume10
Issue number2
DOIs
StatePublished - Apr 1 2020
Externally publishedYes

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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