Clavicle fractures - incidence of supraclavicular nerve injury

To analyze retrospectively 309 fractures in the clavicle and the relation with injury of the supraclavicular nerve after trauma. It was analyzed 309 patients with 312 clavicle fractures. The Edinburgh classification was used. Four patients had fractures in the medial aspect of the clavicle, 33 in th...

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Bibliographic Details
Published in:Revista brasileira de ortopedia (English ed.) 2013-07, Vol.48 (4), p.317-321
Main Authors: Labronici, Pedro José, Segall, Fabio Soares, Martins, Bernardo Augusto, Franco, José Sergio, Labronici, Gustavo José, Silva, Bruno de Araújo, Rocha, Leonardo Rosa da
Format: Article
Language:English
Subjects:
Clavicle
Clavícula
Fractures bone
Fraturas ósseas
Nerve compression syndromes
Original
Síndromes de compressão nervosa
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Summary:To analyze retrospectively 309 fractures in the clavicle and the relation with injury of the supraclavicular nerve after trauma. It was analyzed 309 patients with 312 clavicle fractures. The Edinburgh classification was used. Four patients had fractures in the medial aspect of the clavicle, 33 in the lateral aspect and 272 in the diaphyseal aspect and three bilateral fractures. 255 patients were analyzed and five had paresthesia in the anterior aspect of the thorax. Four patients had type 2 B2 fracture and one type 2 B1 fracture. All patients showed spontaneous improvement, in the mean average of 3 months after the trauma. Clavicle fractures and/or shoulder surgeries can injure the lateral, intermediary or medial branches of the supraclavicular nerve and cause alteration of sensibility in the anterior aspect of the thorax. Knowledge of the anatomy of the nerve branches helps avoid problems in this region. Analisar retrospectivamente 309 fraturas da clavícula e sua relação com a lesão do nervo supraclavicular após trauma. Foram analisados 309 pacientes com 312 fraturas da clavícula. Foi usada a classificação de Edinburgh. Quatro pacientes apresentavam fraturas da região medial da clavícula, 33da região lateral, 272da região diafisária e três com fraturas bilaterais. Foram analisados 255 pacientes e cinco apresentavam parestesia na região anterior do tórax. Quatro pacientes apresentaram fratura do tipo 2 B2 e um do tipo 2 B1. Todos os pacientes tiveram melhoria espontânea, em média de três meses após o trauma. Fraturas da clavícula e/ou cirurgias no ombro podem lesar os ramos lateral, intermediário ou medial do nervo supraclavicular e causar alteração da sensibilidade na região anterior do tórax. O conhecimento da anatomia dos ramos nervosos ajuda a evitar problemas nessa região.
ISSN:2255-4971
2255-4971
DOI:10.1016/j.rboe.2012.09.009