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Arterial injuries are usually pseudoaneurysms associated with prominent screws. These may be clinically silent for several years before presenting as subcritical upper limb ischaemia. Venous injuries are a result of tearing of the vessel wall by fracture manipulation, drills or implants. This produces intra-operative haemorrhage and potentially air embolism, which can be fatal if not rapidly recognized and managed. Brachial plexopathy is the result of traction on adherent plexus or impingement by fracture fragments or callus. It presents as severe arm pain and paralysis immediately postoperatively. Neurovascular injuries can be avoided by a combination of pre-operative planning, communication with anaesthetic staff and strategic surgical technique. The plane of the surgical exposure, release of the soft tissues, drill direction and depth and screw length are all important factors.<\/jats:p>","DOI":"10.1177\/1758573214546058","type":"journal-article","created":{"date-parts":[[2014,8,1]],"date-time":"2014-08-01T23:51:16Z","timestamp":1406937076000},"page":"3-12","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":42,"title":["Major neurovascular complications of clavicle fracture surgery"],"prefix":"10.1177","volume":"7","author":[{"given":"Harry DS","family":"Clitherow","sequence":"first","affiliation":[{"name":"Department of Orthopaedics and Trauma, Modbury Public Hospital, Adelaide, Australia"},{"name":"Department of Orthopaedics and Trauma, Royal Adelaide Hospital, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory I","family":"Bain","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics and Trauma, Flinders Hospital, Adelaide, Australia"},{"name":"Department of Orthopaedics and Trauma, Flinders University, Adelaide, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,8]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B4.0790537"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01364"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00307"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199403000-00016"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198062080-00019"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200002000-00022"},{"key":"e_1_3_3_8_2","first-page":"332","article-title":"Subclavian pseudoaneurysm after clavicle fracture \u2013 a case report","volume":"82","author":"Shih JS","year":"1983","unstructured":"Shih JS, Chao EK, Chang CH. 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