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April 3, 1967

An Unusual Vascular Complication of Fractured Clavicle

Author Affiliations

From the Surgical Service, Veterans Administration Center, Dayton, Ohio.

JAMA. 1967;200(1):72-73. doi:10.1001/jama.1967.03120140130033

SEVERAL well-recognized vascular injuries are quite commonly associated with bony trauma. Posterior dislocation of the knee may result in severe contusion or even actual laceration of the popliteal artery.1 Numerous cases of rupture of the axillary artery in association with anterior dislocation of the shoulder have been reported.2 Aneurysmal dilatation of the subclavian artery following fracture of the clavicle was reported recently by DeBakey et al.1 Also, Gryska has recorded the case of a patient in whom a clavicular fracture was complicated by complete transection of the subclavian artery.3 We have not, however, been able to find a report which describes subclavian artery thrombosis as a sequel of nonunited fracture of the clavicle.

Report of a Case  A 55-year-old white man was admitted to the Veterans Administration Center, Dayton, Ohio, on Sept 1, 1966. At the time of admission he was semistuporous and had a strong