{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:30Z","timestamp":1787755530852,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>A patient with history of nonunion repair of traumatic midshaft clavicle fracture was referred to our orthopaedic trauma clinic for new-onset shoulder pain and paresthesias involving the ipsilateral arm. Computed tomography angiography revealed an axillary artery pseudoaneurysm adjacent to the instrumentation and recurrent nonunion of the fracture site. The patient underwent coil embolization of the pseudoaneurysm and nonunion repair.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case demonstrates that iatrogenic neurovascular injury during clavicle fracture nonunion repairs can present in a delayed fashion requiring more thorough clinical and imaging evaluation to achieve successful treatment.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.19.00591","type":"journal-article","created":{"date-parts":[[2020,9,23]],"date-time":"2020-09-23T15:00:08Z","timestamp":1600873208000},"page":"e19.00591-e19.00591","source":"Crossref","is-referenced-by-count":0,"title":["Axillary Artery Pseudoaneurysm After Revision Plate Osteosynthesis of a Midshaft Clavicle Fracture Nonunion"],"prefix":"10.2106","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6171-489X","authenticated-orcid":false,"given":"Reza","family":"Firoozabadi","sequence":"first","affiliation":[{"name":"Department of Orthopaedics & Sports Medicine, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4195-9256","authenticated-orcid":false,"given":"Jacob","family":"Wilkerson","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics & Sports Medicine, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1622-9398","authenticated-orcid":false,"given":"Jake","family":"Hemingway","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3701-2545","authenticated-orcid":false,"given":"Nam","family":"Tran","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, University of Washington, Seattle, Washington"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"8","key":"bib1-20230720","doi-asserted-by":"crossref","first-page":"675","DOI":"10.2106\/JBJS.J.01364","article-title":"Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials","volume":"94","author":"Mckee","year":"2012","journal-title":"J Bone Joint Surg Am."},{"issue":"5","key":"bib2-20230720","doi-asserted-by":"crossref","first-page":"e155","DOI":"10.1016\/j.jse.2017.10.010","article-title":"Surgery for the fractured clavicle: factors predicting nonunion","volume":"27","author":"Jarvis","year":"2018","journal-title":"J Shoulder Elbow Surg."},{"issue":"4","key":"bib3-20230720","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1097\/BOT.0000000000000770","article-title":"Nonunion after clavicle osteosynthesis: high incidence of propionobacterium acnes","volume":"31","author":"Gausden","year":"2017","journal-title":"J Orthop Trauma."},{"issue":"6","key":"bib4-20230720","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1016\/j.jse.2008.05.046","article-title":"Nonunion of the clavicle treated with plate fixation: a review of forty-seven consecutive cases","volume":"16","author":"Endrizzi","year":"2008","journal-title":"J Shoulder Elbow Surg."},{"issue":"2","key":"bib5-20230720","first-page":"CD004981","article-title":"Treatment of femoral pseudoaneurysms","volume":"15","author":"Tisi","year":"2009","journal-title":"Cochrane Database Syst Rev."},{"issue":"2","key":"bib6-20230720","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/0741-5214(92)90269-E","article-title":"Suggested standards for reporting on arterial aneurysms","volume":"15","author":"Evans","year":"1992","journal-title":"J Vasc Surg."},{"issue":"3","key":"bib7-20230720","doi-asserted-by":"crossref","first-page":"79","DOI":"10.4103\/0973-6042.76969","article-title":"Axillary artery pseudoaneurysm after plate osteosynthesis for a clavicle nonunion: a case report and literature review","volume":"4","author":"Bain","year":"2010","journal-title":"Int J Shoulder Surg."},{"issue":"3","key":"bib8-20230720","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1016\/0967-2109(95)00095-X","article-title":"Subclavian artery injury caused by a screw in a clavicular compression plate","volume":"4","author":"Johnson","year":"1996","journal-title":"Cardiovasc Surg."},{"issue":"1","key":"bib9-20230720","doi-asserted-by":"crossref","first-page":"142","DOI":"10.1097\/00005373-199707000-00035","article-title":"An unusual case of thoracic outlet syndrome","volume":"43","author":"Casselman","year":"1997","journal-title":"J Trauma."},{"issue":"5","key":"bib10-20230720","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1097\/01.TA.0000085862.32648.05","article-title":"Taming of the screw. A case report and literature review of limb-threatening complications after plate osteosynthesis of a clavicular nonunion","volume":"55","author":"Shackford","year":"2003","journal-title":"J Trauma."},{"issue":"2","key":"bib11-20230720","doi-asserted-by":"crossref","first-page":"e287","DOI":"10.3928\/01477447-20120123-21","article-title":"Iatrogenic subclavian arteriovenous fistula: rare complication of plate osteosynthesis of clavicle fracture","volume":"35","author":"Ding","year":"2012","journal-title":"Orthopedics."},{"issue":"4","key":"bib12-20230720","doi-asserted-by":"crossref","first-page":"122","DOI":"10.4103\/0973-6042.145261","article-title":"Association between screw prominence and vascular complications after clavicle fixation","volume":"8","author":"Clitherow","year":"2014","journal-title":"Int J Shoulder Surg."},{"issue":"1","key":"bib13-20230720","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/JBJS.F.00020","article-title":"Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial","volume":"89","year":"2007","journal-title":"J Bone Joint Surg Am."},{"key":"bib14-20230720","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1302\/0301-620X.79B4.0790537","article-title":"Closed treatment of displaced middle third fractures of the clavicle gives poor results","volume":"79","author":"Hill","year":"1997","journal-title":"J Bone Joint Surg Br."},{"issue":"5","key":"bib15-20230720","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1007\/s00402-011-1456-5","article-title":"Systematic review of the complications of plate fixation of clavicle fractures","volume":"132","author":"Wijdicks","year":"2012","journal-title":"Arch Orthop Trauma Surg."},{"issue":"6","key":"bib16-20230720","first-page":"555","article-title":"Acute subclavian artery pseudoaneurysm after closed fracture of the clavicle","volume":"69","author":"Serranno","year":"2003","journal-title":"Acta Orthop Bel."},{"issue":"7","key":"bib17-20230720","doi-asserted-by":"crossref","first-page":"1335","DOI":"10.2106\/00004623-196547070-00005","article-title":"Injuries to the clavicle with neurovascular complications. A study of fourteen cases","volume":"47","author":"Howard","year":"1965","journal-title":"J Bone Joint Surg."},{"issue":"5","key":"bib18-20230720","first-page":"541","article-title":"Fractures of the clavicle and injuries of the subclavian artery. Report of 10 cases","volume":"16","author":"Natali","year":"1975","journal-title":"J Cardiovasc Surg."},{"issue":"9","key":"bib19-20230720","doi-asserted-by":"crossref","first-page":"1247","DOI":"10.1302\/0301-620X.93B9.25739","article-title":"A radiological study to define safe zones for drilling during plating of clavicle fractures","volume":"93","author":"Sinha","year":"2011","journal-title":"J Bone Joint Surg Br."},{"issue":"1","key":"bib20-20230720","doi-asserted-by":"crossref","first-page":"e14","DOI":"10.1097\/BOT.0000000000001633","article-title":"The anatomy of the clavicle and its in vivo relationship to the vascular structures: a 2D and 3D reconstructive study using CT scans","volume":"34","author":"Steinmetz","year":"2020","journal-title":"J Orhop Trauma."},{"issue":"11","key":"bib21-20230720","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1097\/BOT.0b013e3182112d7b","article-title":"Anatomic relationships after instrumentation of the midshaft clavicle with 3.5mm reconstruction plating: an anatomic study","volume":"25","author":"Werner","year":"2011","journal-title":"J Orthop Trauma."},{"issue":"1","key":"bib22-20230720","first-page":"162","article-title":"Safe drilling angles and depths for plate-screw fixation of the clavicle: avoidance of inadvertent iatrogenic subclavian neurovascular bundle injury","volume":"69","author":"Qin","year":"2010","journal-title":"J Trauma."},{"issue":"5","key":"bib23-20230720","doi-asserted-by":"crossref","first-page":"e21","DOI":"10.1016\/j.jse.2009.01.021","article-title":"The anatomic relationship of the axillary artery and vein to the clavicle: a cadaveric study","volume":"18","author":"Galley","year":"2009","journal-title":"J Shoulder Elbow Surg."},{"key":"bib24-20230720","first-page":"757","article-title":"Subclavian-axillary artery aneurysms","volume":"90","author":"Pairolero","year":"1981","journal-title":"Surgery."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00591","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:35Z","timestamp":1787751875000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.19.00591"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":24,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.19.00591","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020]]}}}