Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2007 Jan;20(1):86-89. Korean.
    Published online Jun 14, 2016.
    https://doi.org/10.12671/jkfs.2007.20.1.86
    Copyright © The Korean Fracture Society. All rights reserved
    Case Report

    Costoclavicular Syndrome: A Case Report

    Sung Keun Sohn, M.D., Sung Soo Kim, M.D., Chang Geun Song, M.D. and Jong Ill Kwak, M.D.
      • Department of Orthopedic Surgery, School of Medicine, Dong-A University, Busan, Korea.
    • Address reprint requests to: Sung Soo Kim, M.D. Department of Orthopaedic Surgery, Dong-A University Hospital, 1, Dongdaesin-dong 3-ga, Seo-gu, Busan 602-715, Korea. Tel: 82-51-240-5166, Fax: 82-51-254-6757, Email: sskim2@dau.ac.kr

    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.

    Keywords
    Costoclavicular syndrome

    Figures

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

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

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

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

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    MeSH Terms
    Bony Callus
    Clavicle
    Ribs
    Scoliosis
    Thoracic Outlet Syndrome*
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