Correlation Between Clavicle Fracture Patterns and Brachial Plexus Injury: A Clinical and Radiological Study

Abstract

Objective:  To evaluate the association between different types of clavicle fractures and the occurrence of brachial plexus injury using clinical and radiological assessment.

Materials and Methods:  This prospective observational study was conducted at Lady Reading Hospital, Peshawar. A total of 186 patients with radiologically confirmed clavicle fractures were included. Each patient underwent a detailed clinical and neurological examination along with appropriate imaging. Fractures were categorized into medial third, middle third, and lateral third types. Brachial plexus injury was identified clinically and confirmed radiologically when required.

Results:  Middle third fractures were the most common (74.2%). Overall, 21 patients (11.3%) had brachial plexus injury, predominantly associated with middle third fractures. A statistically significant association was observed between fracture pattern and nerve injury.

Conclusion:  Middle third clavicle fractures are more frequently associated with brachial plexus injury, emphasizing the need for careful neurological and radiological evaluation.