Upper-extremity massive deep venous thrombosis due to middle third clavicle fracture

A clinical case

Abstract

Objective

Deep venous thrombosis of the upper-extremity is an uncommon pathology and it is associated with the use of central venous catheters, coagulopathy, oral contraception, neoplasia, cervical rib or scalenus syndrome, clavicle fractures or weight lifting.

Method

53 years-old- man who suffered from axillary, cephalic and basilar thrombosis after a three days injury with middle third clavicle fracture treated initially with a figure-of-8 brace.

Results

Both venous thrombosis and clavicle fracture solved respectively with Tinzaparin sodium and Physiotherapy, consolidating the broken clavicle and with a recanalization of thrombosed veins.

Discussion

Few cases of axillary or subclavian thrombosis associated to clavicle fractures have been reported. It is very uncommon extended thrombosis affecting more than one vein after trauma or brace pressure as shown in this case report.