Arteriovenous Fistula Development After Nonoperative Treatment of a Clavicular Fracture: A Case Report

JBJS Case Connect. Jul-Sep 2018;8(3):e65. doi: 10.2106/JBJS.CC.18.00016.


Case: We report a case of prominent venous dilation in the supraclavicular area with an underlying arteriovenous fistula following nonoperative management of a fracture in the medial third of the clavicle in an adult. The venous dilation indicated elevated venous pressures, likely caused by hypertrophic callus formation and/or fistula development.

Conclusion: Arteriovenous fistula and prominent venous dilation are possible sequelae of nonoperative treatment of clavicular fractures. Surgeons should be aware of their possibility when planning either operative or nonoperative treatment. More information is needed to guide management of these issues when they occur.

Publication types

  • Case Reports

MeSH terms

  • Accidents, Traffic
  • Arteriovenous Fistula / diagnostic imaging
  • Arteriovenous Fistula / etiology*
  • Clavicle / injuries*
  • Fractures, Ununited / complications
  • Fractures, Ununited / diagnostic imaging*
  • Humans
  • Male
  • Middle Aged
  • Subclavian Artery / diagnostic imaging*
  • Subclavian Vein / diagnostic imaging*
  • Tomography, X-Ray Computed
  • Ultrasonography