Conservative treatment of a closed fracture of the clavicle complicated
by pneumothorax : A case report
Published online: Aug 27 2005
Pascal STEENVOORDE, Arno P.W. VAN LIESHOUT, Jacques OSKAM
From the Department of Surgery, Rijnland Hospital Leiderdorp, The Netherlands
Abstract
Isolated clavicle fractures are frequently encountered
in the accident and emergency department.
Complications of isolated clavicle fractures are rare.
Pneumothorax as a complication of a clavicle fracture
has only been reported five times in English literature.
In all five cases the pneumothorax was treated
by a thoracostomy and the clavicle fracture was
treated conservatively. In our case, both pneumothorax
and clavicle fracture were treated conservatively
with good result. Although isolated clavicle fractures
rarely present with complications and normally heal
with routine immobilisation, we must be aware of the
serious complications that may occur, which require
urgent treatment. Thorough history, physical examination,
with particular attention to the neurovascular
and chest examinations and radiographs of the
clavicle are necessary to prevent overlooking these
potentially serious complications.