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Thrombose der V. subclavia bei konservativ therapierter Klavikulaschaftfraktur

Eine seltene Komplikation

Thrombosis of the subclavian vein after conservative treatment of a clavicular fracture

A rare complication

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Zusammenfassung

Wir berichten von der seltenen Komplikationen einer Thrombose der Vv. subclavia, axillaris und brachialis bei konservativ therapierter Klavikulaschaftfraktur eines 16-Jährigen. Diese trat nach Ruhigstellung und Redression im Rucksackverband auf. Die Thrombose wurde mit Nadroparin erfolgreich therapiert. Die Fraktur zeigte im weiteren Verlauf der konservativen Behandlung eine regelrechte knöcherne Durchbauung. Konservativ therapierte Klavikulaschaftfrakturen müssen engmaschig kontrolliert werden. Dabei sollte auch an seltene aber schwerwiegende Komplikationen gedacht werden.

Abstract

We report the case of a 16-year-old male patient who presented with a clavicular fracture that was conservatively treated with a redressment bandage. After a few days the patient developed deep vein thrombosis of the subclavian, axillary and brachial veins, which was successfully treated with nadroparin. Conservative treatment of clavicular fractures is a common procedure in modern traumatology. Continuous, close monitoring and knowledge of rare but severe complications are necessary to avoid further complications.

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Authors and Affiliations

  1. Centrum für Muskuloskeletale Chirurgie, Charité – Universitätsmedizin, Berlin, Deutschland

    H. Ranke, S. Märdian, N.P. Haas & H. Baecker

Authors
  1. H. Ranke
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  2. S. Märdian
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  3. N.P. Haas
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  4. H. Baecker
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Correspondence to H. Ranke.

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H. Ranke, S. Märdian, N.P. Haas und H. Baecker geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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W. Mutschler, München

V. Braunstein, München

H. Polzer, München

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Ranke, H., Märdian, S., Haas, N. et al. Thrombose der V. subclavia bei konservativ therapierter Klavikulaschaftfraktur. Unfallchirurg 119, 255–258 (2016). https://doi.org/10.1007/s00113-015-0091-y

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  • DOI: https://doi.org/10.1007/s00113-015-0091-y

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