J Korean Fract Soc.  2007 Jan;20(1):86-89. 10.12671/jkfs.2007.20.1.86.

Costoclavicular Syndrome: A Case Report

• Sohn SK
• Kim SS
• Song CG
• Kwak JI

• KMID: 2294385
• DOI: http://doi.org/10.12671/jkfs.2007.20.1.86

Abstract

Costoclavicular syndrome is one of the four syndromes of thoracic outlet syndrome in which have similiar symptoms, and may result from cervical and thoracic scoliosis, formation of excessive callus or nonunion after fractures of clavicle or first rib. Conservative treatment may be offered. Surgical treatment includes scalenectomy with supraclavicular approach, transaxillary first rib resection with scalenectomy and correction of clavicular abnormality. The purpose of this paper is to evaluate the result of surgical intervention in costoclavicular syndrome of a 38-year old man with clavicular nonunion after an operation.

Keyword

Costoclavicular syndrome

MeSH Terms

Bony Callus
Clavicle
Ribs
Scoliosis
Thoracic Outlet Syndrome*

Figure

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  Fig. 1 The preoperative radiograph shows inferior displacement of distal fragment at fracture site without callus.

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  Fig. 2 The venogram showing the stenosis is aggravated by hyperabduction of the right shoulder.

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  Fig. 3 The three dimensional computed tomogram showing subclavian vein is compressed by distal fragment at fracture site.

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  Fig. 4 The radiograph taken 5 months after surgery shows well maintained bony alignment.

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