Rare Case of a Doubly Complicated Clavicle Fracture in a Cyclist

R. Salah, Naoufal El Ghoul, Kamal El Mokhtari, A. Bennis, O. Zaddoug, M. Benchakroun, A. Zine, M. Tanane, S. Bouabid
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Abstract

Fractures of the clavicle represent 2.6 to 5% of all fractures. Respiratory and vascular-nerve complications of isolated clavicle fractures are rare. We report the case of a 29-year-old cyclist who presented a fracture of the right clavicle following a sport accident, complicated by both pneumothorax and deep vein thrombosis of axillary vein. Patient underwent thoracic drainage and curative anticoagulation followed by internal osteosynthesis of the clavicle as soon as he was stabilized on respiratory level. At the last check-up, the clavicle healed and no recurrence of pneumothorax nor deep vein thrombosis was noted.
罕见的骑车者双重复杂锁骨骨折病例
锁骨骨折占所有骨折的2.6%至5%。孤立性锁骨骨折的呼吸和血管神经并发症是罕见的。我们报告一例29岁的自行车运动员在运动事故后出现右锁骨骨折,并发气胸和腋窝静脉深静脉血栓形成。患者呼吸水平稳定后立即行胸腔引流和治疗性抗凝治疗,随后行锁骨内固定术。最后一次检查锁骨愈合,无气胸复发及深静脉血栓形成。
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