RESUMO
SUMMARY: Brachial plexopathy after conservative therapy or surgical treatment of clavicular fractures is an uncommon, yet serious complication that is associated with compression of the brachial plexus or the subclavian artery and vein because they traverse through the thoracic outlet. Surgical decompression of the brachial plexus is the recommended treatment if this condition is to occur. Although there are multiple reports of these cases in the literature, at present, there are no clear guidelines for their management. We are highlighting an institutional management algorithm, illustrated by a small retrospective case series, that uses a multidisciplinary approach in an effort to minimize complications associated with the management of clavicle nonunion.
Assuntos
Neuropatias do Plexo Braquial , Plexo Braquial , Fraturas Ósseas , Plexo Braquial/cirurgia , Neuropatias do Plexo Braquial/complicações , Neuropatias do Plexo Braquial/cirurgia , Clavícula/diagnóstico por imagem , Clavícula/cirurgia , Fraturas Ósseas/complicações , Fraturas Ósseas/cirurgia , Humanos , Estudos RetrospectivosRESUMO
Acute aortic occlusion is an uncommon entity requiring prompt recognition and intervention to limit morbidity and mortality. We describe 2 patients with acute aortic occlusion who presented uniquely with sudden onset of paraplegia. In addition, we highlight their circuitous diagnostic course and the adverse impact of diagnostic delay in their management and outcome.