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Erschienen in: Surgical and Radiologic Anatomy 4/2019

03.11.2018 | Original Article

Redefining the morphometry of subclavian vessels for clavicle fracture treatments

verfasst von: Alper Vatansever, Deniz Demiryürek, Burcu Erçakmak, Hakan Özsoy, Tuncay Hazirolan, Yunus Emre Şentürk

Erschienen in: Surgical and Radiologic Anatomy | Ausgabe 4/2019

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Abstract

Purpose

Clavicle fractures are common injuries in adults and children. Although neurovascular damage is rarely seen, acute subclavian artery pseudoaneurysms and injuries to subclavian vessels were reported for closed fractures of the clavicle. The aim of this study was to identify the morphological details of the subclavian vessels and their relation to the sternoclavicular joint and body of the clavicle.

Methods

127 patients (66 females and 61 males) were evaluated using reconstructed three-dimensional computed tomographic angiographies. The point at which the subclavian artery crossed posterior to the clavicle was detected as a landmark. The medio-lateral distance between the sternal end of the clavicle, landmark, antero-posterior distance between the clavicle and the subclavian artery, diameter of the artery and vein, angle between the subclavian artery and vein, distance of the subclavian vein to the subclavian artery and the clavicle at the landmark were measured. Measurements were compared according to gender and right and left sides, and age correlation was determined.

Results

Morphometric relationship between the subclavian vessels and clavicle presented differences between genders. We measured the antero-posterior distance between the subclavian artery and the clavicle to be less than 1 cm (0.91 cm).

Conclusion

The subclavian artery travelled longer distances in men than women to reach the point that it crossed the clavicle. Our results demonstrated that the subclavian artery does not pass from the inferior margin of the clavicle, thus, superior plate osteosynthesis does not have any risk to injury against the subclavian vessels during the management of the clavicle fractures.
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Metadaten
Titel
Redefining the morphometry of subclavian vessels for clavicle fracture treatments
verfasst von
Alper Vatansever
Deniz Demiryürek
Burcu Erçakmak
Hakan Özsoy
Tuncay Hazirolan
Yunus Emre Şentürk
Publikationsdatum
03.11.2018
Verlag
Springer Paris
Erschienen in
Surgical and Radiologic Anatomy / Ausgabe 4/2019
Print ISSN: 0930-1038
Elektronische ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-018-2132-z

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