Journal of Musculoskeletal Trauma

Axillary Artery Rupture after Shoulder Dislocation That Was Treated with a Self-Expanding Stent - A Case Report -: HaengJin OHE, Daehyun Hwang, Inkeun Park, Minki Lee, Jun-Ku Lee; J Korean Fract Soc 2020;33(4):217-221. Published online October 31, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.4.217

Abstract PDF: raumatic shoulder dislocations are one of the most common major dislocations in the general population. Injury to major vessels is rarely reported as a complication of shoulder dislocations. This case report presents the traumatic dissection of the axillary artery after a simple shoulder dislocation that was managed successfully with the placement of a self-expanding stent. With the clinical manifestations of a brachial plexus injury and progressive vascular compromise in the affected arm, a major vascular injury was detected on an angiogram, and a self-expanding stent was deployed. Through immediate diagnosis and prompt intervention, serious complications, such as hypovolemic shock and even death, were averted, ultimately achieving a favorable patient outcome.

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Brachial Plexus Neuropathy after Revision of Clavicular Fracture Nonunion: A Case Report: Youngwoo Kim, Suk Kyu Choo, Neunghan Jeon; J Korean Fract Soc 2020;33(1):22-26. Published online January 31, 2020; DOI: https://doi.org/10.12671/jkfs.2020.33.1.22

We performed a revisionary open reduction and internal fixation for treating nonunion of the mid-shaft of the left clavicle with an autogenous cancellous bone graft. On postoperative day 4, the patient presented with neurologic deficits in the left upper extremity. We removed the implant and made a superior angulation to decompress the brachial plexus. At 6 months postoperatively, callus bridging and consolidation were visible and all hand and elbow functions were fully recovered. Our case suggests that brachial plexus neuropathy may be caused by stretching and compression after reduction and straightening of the nonunion site around adhesions or scar tissue. Therefore, care should be taken whether there are the risk factors that can cause brachial plexus neuropathy when revision surgery is performed for treating nonunion of a clavicle shaft fracture.

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Arcuate osteoplasty for brachial plexus paralysis after plate fixation of mid-clavicle fracture: a case report and literature review
Dongju Shin, Jae Hwi Han
Clinics in Shoulder and Elbow.2025;[Epub] CrossRef

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Progressive Brachial Plexus Palsy after Fixation of Clavicle Shaft Nonunion: A Case Report: Hong Ki Jin, Ki Bong Park, Hyung Lae Cho, Jung Il Kang, Wan Seok Lee; J Korean Fract Soc 2019;32(2):97-101. Published online April 30, 2019; DOI: https://doi.org/10.12671/jkfs.2019.32.2.97

Abstract PDF: The brachial plexus palsy is a rare complication of a clavicle fracture, occurring in 0.5% to 9.0% of cases. This condition is caused by excessive callus formation, which can be recovered by a spur resection and surgical fixation. In contrast, only seven cases have been reported after surgical reduction and fixation. A case of progressive brachial plexus palsy was observed after fixation of the displaced nonunion of a clavicle fracture. The symptom were improved after removing the implant.

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