Late brachial plexopathy after a mid-shaft clavicle fracture: A case report

doi:10.5312/wjo.v14.i10.776

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Oct 18, 2023 (publication date) through Feb 20, 2026

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World Journal of Orthopedics

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2218-5836

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Case Report

World J Orthop. Oct 18, 2023; 14(10): 776-783
Published online Oct 18, 2023. doi: 10.5312/wjo.v14.i10.776

Late brachial plexopathy after a mid-shaft clavicle fracture: A case report

Mohammad M Alzahrani

Mohammad M Alzahrani, Department of Orthopaedic Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 31441, Saudi Arabia

Author contributions: Alzahrani MM contributed to the concept, design, study execution, manuscript writing and review.

Informed consent statement: The patient was informed that data concerning the case would be submitted for publication and patient agreed.

Conflict-of-interest statement: The author has no relevant conflict of interests.

CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).

Corresponding author: Mohammad M Alzahrani, FRSC, MBBS, MSc, Assistant Professor, Department of Orthopaedic Surgery, College of Medicine, Imam Abdulrahman Bin Faisal University, King Faisal Road, Dammam 31441, Saudi Arabia. mmalzahrani@iau.edu.sa

Received: August 1, 2023
Peer-review started: August 1, 2023
First decision: September 4, 2023
Revised: September 5, 2023
Accepted: September 22, 2023
Article in press: September 22, 2023
Published online: October 18, 2023
Processing time: 75 Days and 13.8 Hours

Abstract

BACKGROUND

Clavicle fractures can rarely be associated with brachial plexus injury. These are commonly caused by tractional injury at the time of trauma, but unfrequently can be caused by compression of the brachial plexus from excessive callus or granulation tissue formation.

CASE SUMMARY

We report a rare case of an adult male who sustained a mid-shaft clavicle fracture and had a late presentation of brachial plexus palsy due to compression from excessive callus formation.

CONCLUSION

We reported a case of a rare occurrence of delayed brachial plexus palsy due to compression from excessive callus formation in a midshaft clavicle fracture. Early diagnosis and surgical decompression of the brachial plexus is critical, as when managed efficiently, a full recovery of the brachial plexus palsy can be expected in these patients.

Keywords: Clavicle; Fracture; Brachial plexus; Palsy; Case report

Core Tip: Brachial plexus palsy due to compression from excessive callus formation in a midshaft clavicle fracture is a rare occurrence. We reported a case of a of delayed brachial plexus palsy due to compression from excessive callus formation in a midshaft clavicle fracture. Early diagnosis and surgical decompression of the brachial plexus is critical for improved patient outcomes.