Key result
Anticoagulation for 3 months successfully resolves clavicle fracture-associated upper limb DVT.
Why the study?
Upper limb deep vein thrombosis is a potentially fatal complication following clavicle fracture that requires clinical awareness and appropriate investigation.
Case Report (n=1)
Upper limb deep vein thrombosis is a potentially fatal complication of clavicle fracture that requires clinical suspicion and investigation with CT venography.
Answers are grounded in this paper and cite their sources.
Maintain suspicion for upper limb DVT after clavicle fracture; single case leaves open incidence and management needs.
We present a case a 48-year-old man who was diagnosed with an upper limb deep vein thrombosis post clavicle fracture. He was successfully investigated with a computed tomography (CT) venogram, thrombophilia was excluded, and he was subsequently treated with a 3-month course of anticoagulation. We illustrate this case with photographs and a three-dimensional colour reconstruction of a CT venogram to raise awareness of the condition. A suitable level of clinical suspicion should be maintained by the orthopaedic surgeon; delayed arm swelling with venous congestion following a clavicle fracture should be investigated with CT venography and thrombophilia should be excluded.
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Jones et al. (2010) conducted a case report in Upper limb deep vein thrombosis post clavicle fracture (n=1). Anticoagulation was evaluated. A 48-year-old man with an upper limb deep vein thrombosis following a clavicle fracture was successfully diagnosed with CT venography and treated with a 3-month course of anticoagulation.
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