{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T19:10:16Z","timestamp":1756321816302,"version":"3.44.0"},"reference-count":30,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,4,16]]},"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:p>Vascular complications are relatively rare following surgical fixation of midshaft clavicle fractures. Here, we report a case of a woman in her 30s presenting 10 years after right clavicular open reduction and internal fixation with revision 6 years prior with sudden and rapidly progressive neck swelling. Physical examination revealed a soft pulsating mass in her right supraclavicular fossa. Ultrasound and CT angiography of the head and neck showed a pseudoaneurysm of her right subclavian artery with a surrounding haematoma. She was admitted to the vascular surgery team for endovascular repair with stenting. Postoperatively, she developed arterial thrombi requiring thrombectomy (twice) and is now on lifelong anticoagulation. It is crucial to be aware of complications that can develop in patients with a history of clavicular fracture managed non-operatively or operatively even years later and highlights the importance of risk and benefit discussions and counselling.<\/jats:p>","DOI":"10.1136\/bcr-2022-252430","type":"journal-article","created":{"date-parts":[[2023,5,2]],"date-time":"2023-05-02T11:05:26Z","timestamp":1683025526000},"page":"e252430","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Pseudoaneurysm of the subclavian artery as a delayed complication of a clavicle fracture"],"prefix":"10.1136","volume":"16","author":[{"given":"Jennifer","family":"Cogburn","sequence":"first","affiliation":[{"name":"Family Medicine, University of Colorado Denver School of Medicine, Denver, Colorado, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joshua F","family":"Gilens","sequence":"additional","affiliation":[{"name":"Family Medicine, University of Colorado Denver School of Medicine, Denver, Colorado, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3549-5333","authenticated-orcid":false,"given":"Morteza","family":"Khodaee","sequence":"additional","affiliation":[{"name":"Family Medicine and Orthopedics, University of Colorado Denver School of Medicine, Denver, Colorado, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,5,2]]},"reference":[{"key":"2025082711354362000_16.5.e252430.1","doi-asserted-by":"crossref","DOI":"10.1177\/23259671211006722","article-title":"Epidemiology of clavicle fractures sustained at a Colorado Ski resort","volume":"9","author":"Oberle","year":"2021","journal-title":"Orthop J Sports Med"},{"key":"2025082711354362000_16.5.e252430.2","doi-asserted-by":"crossref","first-page":"S53","DOI":"10.1016\/j.otsr.2016.11.007","article-title":"Clavicle fractures","volume":"103","author":"Ropars","year":"2017","journal-title":"Orthop Traumatol Surg Res"},{"key":"2025082711354362000_16.5.e252430.3","first-page":"555","article-title":"Acute subclavian artery pseudoaneurysm after closed fracture of the clavicle","volume":"69","author":"Serrano","year":"2003","journal-title":"Acta Orthop Belg"},{"key":"2025082711354362000_16.5.e252430.4","doi-asserted-by":"crossref","first-page":"40","DOI":"10.5704\/MOJ.2203.006","article-title":"A comparative study between plate fixation and intramedullary fixation for displaced mid-shaft clavicle fractures in adults","volume":"16","author":"Vajrangi","year":"2022","journal-title":"Malays Orthop J"},{"key":"2025082711354362000_16.5.e252430.5","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1097\/BOT.0000000000000936","article-title":"Midshaft fractures of the clavicle: a meta-analysis comparing surgical fixation using anteroinferior plating versus superior plating","volume":"31","author":"Nourian","year":"2017","journal-title":"J Orthop Trauma"},{"key":"2025082711354362000_16.5.e252430.6","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1016\/j.ajem.2021.06.011","article-title":"The emergency medicine management of clavicle fractures","volume":"49","author":"Serpico","year":"2021","journal-title":"Am J Emerg Med"},{"key":"2025082711354362000_16.5.e252430.7","doi-asserted-by":"crossref","first-page":"e6","DOI":"10.1097\/BOT.0000000000001602","article-title":"Operative versus nonoperative outcomes of middle-third clavicle fractures: a systematic review and meta-analysis","volume":"34","author":"Amer","year":"2020","journal-title":"J Orthop Trauma"},{"key":"2025082711354362000_16.5.e252430.8","doi-asserted-by":"crossref","first-page":"392","DOI":"10.1097\/CORR.0000000000000986","article-title":"What is the best evidence for management of displaced midshaft clavicle fractures? 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