{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:59:40Z","timestamp":1763463580133,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nWe report a case of stress fracture of the clavicle in which diagnosis was delayed due to the unusual localization of pain and absence of predisposing risk factors. A 34-year-old woman presented with severe right-sided pain in the shoulder, arm, neck, and hemithorax, and numbness in her right upper extremity. Systemic radiographs, cervical and brachial plexus magnetic resonance imaging (MRI) and thorax computed tomography (CT) did not show any pathology. In a retrospective review of the shoulder MRI sections, an edematous appearance was noted in the right clavicle and adjacent soft tissues, suggesting a stress fracture of the clavicle. The patient was followed-up with activity limitation and analgesic treatment and her complaints subsided gradually. Control radiographs obtained 10 months later showed fracture healing with atypical callus formation. Stress fractures of the clavicle must be kept in mind in the differential diagnosis of shoulder pain presenting as an atypical severe arm pain radiating to the upper extremity and hemithorax. In suspected cases, it may be helpful to obtain CT and MRI sections parallel to the long axis of the clavicle.\n\n\u00d6zet\n\nRisk fakt\u00f6r\u00fc bulunmamas\u0131 ve a\u011fr\u0131n\u0131n atipik yeri nedeniyle klavikula stres k\u0131r\u0131\u011f\u0131 tan\u0131s\u0131 ge\u00e7 konan bir olgu de\u011ferlendirildi. Otuz d\u00f6rt ya\u015f\u0131nda kad\u0131n hasta sa\u011f tarafta \u015fiddetli omuz, kol, boyun ve hemitoraks a\u011fr\u0131s\u0131 ve sa\u011f \u00fcst ekstremitede uyu\u015fma yak\u0131nmalar\u0131 ile ba\u015fvurdu. Hastan\u0131n radyografilerinde, boyun ve brakiyal pleksusa y\u00f6nelik manyetik rezonans (MR) ve toraks bilgisayarl\u0131 tomografi (BT) incelemelerinde patoloji g\u00f6r\u00fclmedi. Geriye d\u00f6n\u00fck yap\u0131lan incelemede, sa\u011f omuz MR g\u00f6r\u00fcnt\u00fcs\u00fcnde klavikula ve \u00e7evre yumu\u015fak dokularda \u00f6dem saptanarak klavikula stres k\u0131r\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcld\u00fc. Aktivite k\u0131s\u0131tlamas\u0131 ve analjezik tedavi ile hastan\u0131n yak\u0131nmalar\u0131 kademeli olarak geriledi ve 10. aydaki kontrol tomografisinde stres k\u0131r\u0131\u011f\u0131n\u0131n aberan kallus olu\u015fumu ile iyile\u015fti\u011fi g\u00f6r\u00fcld\u00fc. Omuz a\u011fr\u0131s\u0131 nedenleri aras\u0131nda klavikula stres k\u0131r\u0131\u011f\u0131 da ak\u0131lda tutulmal\u0131 ve sorunun omuzdan \u00fcst ekstremiteye ve hemitoraksa yay\u0131lan atipik \u015fiddetli bir a\u011fr\u0131 ile ortaya \u00e7\u0131kabilece\u011fi unutulmamal\u0131d\u0131r. \u015e\u00fcphelenilen olgularda BT ve MR incelemelerinde kesitlerin klavikulan\u0131n uzun eksenine paralel olarak al\u0131nmas\u0131 yararl\u0131 olabilir.<\/jats:p>","DOI":"10.3944\/aott.2009.264","type":"journal-article","created":{"date-parts":[[2009,8,16]],"date-time":"2009-08-16T08:10:56Z","timestamp":1250410256000},"page":"264-266","source":"Crossref","is-referenced-by-count":6,"title":["An unusual cause of shoulder pain: stress fracture of the clavicle"],"prefix":"10.5152","volume":"43","author":[{"given":"Aksel","family":"Seyahi","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ata","family":"Can lar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mehmet","family":"Demirhan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2276\/2233","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:38Z","timestamp":1763463458000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2276"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2009,1,3]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.264","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}