{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T14:49:08Z","timestamp":1787755748404,"version":"build-2784847793"},"reference-count":24,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>Case:<\/jats:title>\n                    <jats:p>We present the case of a 24-year-old woman who sustained a left midshaft clavicle fracture with acute subclavian artery compression, subclavian vein laceration, and complete brachial plexus palsy after a motor vehicle collision. The patient underwent urgent open reduction internal fixation of the clavicle and repair of the subclavian vein. Two years later, she underwent opponensplasty and flexor digitorum profundus tendon transfers. She regained satisfactory hand function, allowing her to return to full-duty work.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Clavicle fractures with associated acute neurovascular and brachial plexus injuries are rare pathologies that result from high-energy trauma and should undergo urgent fixation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2106\/jbjs.cc.23.00701","type":"journal-article","created":{"date-parts":[[2025,1,30]],"date-time":"2025-01-30T14:00:48Z","timestamp":1738245648000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Midshaft Clavicle Fracture With Acute Vascular Injury and Complete Brachial Plexus Palsy"],"prefix":"10.2106","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0028-849X","authenticated-orcid":false,"given":"Stephen G.","family":"Crowley","sequence":"first","affiliation":[{"name":"Department of Orthopedic Surgery, Albany Medical Center, Albany, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7644-0323","authenticated-orcid":false,"given":"James M.","family":"Puleo","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Albany Medical Center, Albany, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6969-7879","authenticated-orcid":false,"given":"Benjamin","family":"Villacres Mori","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Albany Medical Center, Albany, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kaushik","family":"Bagchi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Albany Medical Center, Albany, New York"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,1]]},"reference":[{"issue":"5","key":"bib1-20250130","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1067\/mse.2002.126613","article-title":"Epidemiology of clavicle fractures","volume":"11","author":"Postacchini","year":"2002","journal-title":"J Shoulder Elbow Surg."},{"issue":"1","key":"bib2-20250130","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1186\/s12891-017-1444-1","article-title":"Clavicle fractures: epidemiology, classification and treatment of 2 422 fractures in the Swedish Fracture Register; an observational study","volume":"18","author":"Kihlstr\u00f6m","year":"2017","journal-title":"BMC Musculoskelet Disord."},{"issue":"3","key":"bib3-20250130","doi-asserted-by":"crossref","first-page":"e390","DOI":"10.3928\/01477447-20210414-11","article-title":"Clavicle fractures with associated acute neurovascular injury","volume":"44","author":"Meyer","year":"2021","journal-title":"Orthopedics."},{"issue":"1","key":"bib4-20250130","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":"4","key":"bib5-20250130","first-page":"E105","article-title":"Brachial plexus palsy secondary to clavicular nonunion","volume":"63","author":"Derham","year":"2007","journal-title":"J Trauma."},{"issue":"3","key":"bib6-20250130","first-page":"264","article-title":"Brachial-plexus injury after clavicular fracture: case report and literature review","volume":"34","author":"Rumball","year":"1991","journal-title":"Can J Surg."},{"issue":"4","key":"bib7-20250130","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1302\/0301-620X.79B4.0790534","article-title":"Injury to the brachial plexus by a fragment of bone after fracture of the clavicle","volume":"79","author":"Barbier","year":"1997","journal-title":"J Bone Joint Surg Br."},{"issue":"10","key":"bib8-20250130","doi-asserted-by":"crossref","first-page":"769","DOI":"10.3928\/01477447-20090818-24","article-title":"Brachial plexus palsy caused by secondary fracture displacement in a patient with closed clavicle fracture","volume":"32","author":"Lin","year":"2009","journal-title":"Orthopedics."},{"issue":"9","key":"bib9-20250130","doi-asserted-by":"crossref","first-page":"497","DOI":"10.1016\/1010-7940(93)90281-F","article-title":"Delayed brachial plexus paralysis due to subclavian pseudoaneurysm after clavicular fracture","volume":"7","author":"Hansky","year":"1993","journal-title":"Eur J cardio-thoracic Surg official J Eur Assoc Cardio-Thoracic Surg."},{"issue":"5","key":"bib10-20250130","doi-asserted-by":"crossref","first-page":"e6","DOI":"10.1016\/j.jse.2013.01.014","article-title":"Acute brachial plexopathy after clavicular open reduction and internal fixation","volume":"22","author":"Gross","year":"2013","journal-title":"J Shoulder Elbow Surg."},{"key":"bib11-20250130","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1186\/1749-7922-3-25","article-title":"Delayed presentation of Subclavian venous thrombosis following undisplaced clavicle fracture","volume":"3","author":"Kochhar","year":"2008","journal-title":"World J Emerg Surg."},{"issue":"11","key":"bib12-20250130","doi-asserted-by":"crossref","first-page":"e229314","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."},{"issue":"2","key":"bib13-20250130","doi-asserted-by":"crossref","first-page":"e30","DOI":"10.1308\/003588413X13511609955256","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 Surg Engl."},{"issue":"7","key":"bib14-20250130","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 Am."},{"issue":"4","key":"bib15-20250130","doi-asserted-by":"crossref","first-page":"568","DOI":"10.1302\/0301-620X.87B4.15861","article-title":"Thoracic penetration following mid-shaft clavicular fracture","volume":"87","author":"Muller","year":"2005","journal-title":"J Bone Joint Surg Br."},{"issue":"9","key":"bib16-20250130","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":"4","key":"bib17-20250130","first-page":"318","article-title":"Proximity of vital structures to the clavicle: comparison of fractured and non-fractured side","volume":"4","author":"Mulder","year":"2016","journal-title":"Arch Bone Joint Surg."},{"issue":"1","key":"bib18-20250130","doi-asserted-by":"crossref","first-page":"21","DOI":"10.3928\/01477447-20091124-09","article-title":"Neurovascular risks of anteroinferior clavicular plating","volume":"33","author":"Lo","year":"2010","journal-title":"Orthopedics."},{"issue":"4","key":"bib19-20250130","doi-asserted-by":"crossref","first-page":"564","DOI":"10.1016\/S0022-5223(19)41870-9","article-title":"The relationship of the left subclavian vein to the clavicle: practical considerations pertinent to the percutaneous catheterization of the subclavian vein","volume":"63","author":"Land","year":"1972","journal-title":"J Thorac Cardiovasc Surg."},{"issue":"1","key":"bib20-20250130","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 Orthop Trauma."},{"issue":"11","key":"bib21-20250130","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1097\/BOT.0b013e3182112d7b","article-title":"Anatomic relationships after instrumentation of the midshaft clavicle with 3.5-mm reconstruction plating: an anatomic study","volume":"25","author":"Werner","year":"2011","journal-title":"J Orthop Trauma."},{"issue":"6","key":"bib23-20250130","doi-asserted-by":"crossref","first-page":"E412","DOI":"10.1532\/HSF98.20051155","article-title":"Acute subclavian artery occlusion by blunt trauma: a case report","volume":"8","author":"Hirose","year":"2005","journal-title":"Heart Surg Forum."},{"key":"bib25-20250130","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1016\/j.amsu.2020.03.012","article-title":"Subclavian artery injury secondary to blunt trauma successfully managed by median sternotomy with supraclavicular extension: a case report and literature review","volume":"54","author":"Elkbuli","year":"2020","journal-title":"Ann Med Surg."},{"issue":"12","key":"bib26-20250130","doi-asserted-by":"crossref","first-page":"1143.e1","DOI":"10.1016\/j.jhsa.2018.03.018","article-title":"Intercostal entrapment of clavicle fracture causing a pulseless, flaccid upper extremity","volume":"43","author":"Kluemper","year":"2018","journal-title":"J Hand Surg Am."}],"container-title":["JBJS Case Connector"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00701","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T13:50:48Z","timestamp":1787752248000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.2106\/JBJS.CC.23.00701"}},"subtitle":["A Case Report Type of Study"],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.2106\/jbjs.cc.23.00701","relation":{},"ISSN":["2160-3251"],"issn-type":[{"value":"2160-3251","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]}}}