{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:45:08Z","timestamp":1787755508395,"version":"build-2784847793"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Case:<\/jats:title>\n A 12-year-old patient presented after a fall onto her upper extremity. She was found to have a mildly displaced clavicle fracture with a subclavian artery thrombosis. Given the reconstitution of flow distal to the thrombosis, the patient was treated nonoperatively in consultation with vascular surgery with anticoagulation and a sling for immobilization.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n This case highlights the importance of a thorough neurovascular examination even in a mildly displaced fracture. Nonoperatively managed thromboses may be treated successfully without orthopaedic fixation or vascular intervention, although the natural history of this injury is likely not fully understood.<\/jats:p>\n <\/jats:sec>","DOI":"10.2106\/jbjs.cc.20.00815","type":"journal-article","created":{"date-parts":[[2021,4,10]],"date-time":"2021-04-10T17:07:43Z","timestamp":1618074463000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Nonoperative Management of Subclavian Artery Thrombosis in Pediatric Clavicle Fractures"],"prefix":"10.2106","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7422-8807","authenticated-orcid":false,"given":"Madeline M","family":"Lyons","sequence":"first","affiliation":[{"name":"Loyola University Medical Center; Maywood, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1943-8945","authenticated-orcid":false,"given":"Adam M","family":"Holzmeister","sequence":"additional","affiliation":[{"name":"Loyola University Medical Center; Maywood, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1942-9272","authenticated-orcid":false,"given":"Teresa","family":"Cappello","sequence":"additional","affiliation":[{"name":"Shriners Hospitals for Children\u2014Chicago; Chicago, Illinois"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,4]]},"reference":[{"issue":"4","key":"bib2-20240731","doi-asserted-by":"crossref","first-page":"239","DOI":"10.5435\/00124635-200704000-00007","article-title":"Acute midshaft clavicular fracture","volume":"15","author":"Jeray","year":"2007","journal-title":"J Am Acad Orthop Surg."},{"issue":"12","key":"bib3-20240731","doi-asserted-by":"crossref","first-page":"1867","DOI":"10.1016\/j.injury.2014.08.031","article-title":"Clavicular caution: an anatomic study of neurovascular structures","volume":"45","author":"Robinson","year":"2014","journal-title":"Injury."},{"issue":"2","key":"bib4-20240731","first-page":"e30","article-title":"A low energy paediatric clavicle fracture associated with acute brachial plexus injury and subclavian artery compression","volume":"95","author":"Gill","year":"2013","journal-title":"Ann R Coll Surgeons Engl."},{"issue":"2","key":"bib5-20240731","doi-asserted-by":"crossref","first-page":"316","DOI":"10.1097\/00005373-200002000-00022","article-title":"Fatal subclavian artery transection from isolated clavicle fracture","volume":"48","author":"Kendall","year":"2000","journal-title":"J Trauma."},{"issue":"4","key":"bib6-20240731","doi-asserted-by":"crossref","first-page":"419","DOI":"10.1016\/j.jemermed.2007.02.054","article-title":"Post-traumatic occlusion of subclavian artery with clavicle fracture","volume":"33","author":"Sodhi","year":"2007","journal-title":"J Emerg Med."},{"issue":"11","key":"bib7-20240731","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2019-229314","article-title":"Subclavian artery occlusion after a clavicle fracture","volume":"12","author":"Demir","year":"2019","journal-title":"BMJ Case Rep."},{"key":"bib8-20240731","doi-asserted-by":"crossref","first-page":"bcr2018224719","DOI":"10.1136\/bcr-2018-224719","article-title":"Acute subclavian artery occlusion with associated clavicle fracture managed with bypass graft alone","volume":"2018","author":"Buchanan","year":"2018","journal-title":"BMJ Case Rep."},{"issue":"15","key":"bib9-20240731","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.12998\/wjcc.v6.i15.1029","article-title":"Injury to the axillary artery and brachial plexus caused by a closed floating shoulder injury: a case report","volume":"6","author":"Chen","year":"2018","journal-title":"World J Clin Cases."},{"issue":"1","key":"bib10-20240731","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/1749-7922-7-18","article-title":"Traumatic subclavian arterial rupture: a case report and review of literature","volume":"7","author":"Assenza","year":"2012","journal-title":"World J Emerg Surg."},{"issue":"1","key":"bib11-20240731","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1177\/153857440103500108","article-title":"Subclavian arterial injury associated with blunt trauma","volume":"35","author":"Katras","year":"2001","journal-title":"Vasc Surg."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00815","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:44:09Z","timestamp":1787751849000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.20.00815"}},"subtitle":["A Case Report"],"short-title":[],"issued":{"date-parts":[[2021,4]]},"references-count":10,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.20.00815","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,4]]}}}