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Case Report
Costoclavicular Syndrome: A Case Report
Sung Keun Sohn, M.D., Sung Soo Kim, M.D., Chang Geun Song, M.D., Jong Ill Kwak, M.D.
Journal of the Korean Fracture Society 2007;20(1):86-89.
DOI: https://doi.org/10.12671/jkfs.2007.20.1.86
Published online: June 14, 2016

Department of Orthopedic Surgery, School of Medicine, Dong-A University, Busan, Korea.

Address reprint requests to: Sung Soo Kim, M.D. Department of Orthopaedic Surgery, Dong-A University Hospital, 1, Dongdaesin-dong 3-ga, Seo-gu, Busan 602-715, Korea. Tel: 82-51-240-5166, Fax: 82-51-254-6757, sskim2@dau.ac.kr

Copyright © The Korean Fracture Society. All rights reserved

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  • Costoclavicular syndrome is one of the four syndromes of thoracic outlet syndrome in which have similiar symptoms, and may result from cervical and thoracic scoliosis, formation of excessive callus or nonunion after fractures of clavicle or first rib. Conservative treatment may be offered. Surgical treatment includes scalenectomy with supraclavicular approach, transaxillary first rib resection with scalenectomy and correction of clavicular abnormality. The purpose of this paper is to evaluate the result of surgical intervention in costoclavicular syndrome of a 38-year old man with clavicular nonunion after an operation.
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Fig. 1

The preoperative radiograph shows inferior displacement of distal fragment at fracture site without callus.

jkfs-20-86-g001.jpg
Fig. 2

The venogram showing the stenosis is aggravated by hyperabduction of the right shoulder.

jkfs-20-86-g002.jpg
Fig. 3

The three dimensional computed tomogram showing subclavian vein is compressed by distal fragment at fracture site.

jkfs-20-86-g003.jpg
Fig. 4

The radiograph taken 5 months after surgery shows well maintained bony alignment.

jkfs-20-86-g004.jpg

Figure & Data

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    Citations

    Citations to this article as recorded by  
    • The Need to Expand the Concept of Thoracic Outlet Syndrome: A Proposal
      Jaeseok Kim
      Journal of Korean Medical Society of Acupotomology.2022; 6(1): 1.     CrossRef
    • Costoclavicular Syndrome Secondary to Nonunion of a Displaced Fracture of the Clavicle, Misdiagnosed as a Simple Muscle Strain - A Case Report -
      Ho-Seung Jeon, Haeng-Kee Noh, Seo-Goo Kang, Jong-Min Kim, Seung-Ju Jeon
      Journal of the Korean Fracture Society.2013; 26(1): 60.     CrossRef

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      Costoclavicular Syndrome: A Case Report
      J Korean Fract Soc. 2007;20(1):86-89.   Published online January 31, 2007
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    Costoclavicular Syndrome: A Case Report
    Image Image Image Image
    Fig. 1 The preoperative radiograph shows inferior displacement of distal fragment at fracture site without callus.
    Fig. 2 The venogram showing the stenosis is aggravated by hyperabduction of the right shoulder.
    Fig. 3 The three dimensional computed tomogram showing subclavian vein is compressed by distal fragment at fracture site.
    Fig. 4 The radiograph taken 5 months after surgery shows well maintained bony alignment.
    Costoclavicular Syndrome: A Case Report

    J Musculoskelet Trauma : Journal of Musculoskeletal Trauma
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