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Fatal Air Embolus During Internal Fixation of the ClavicleA Case Report
Gregory I. Bain, MBBS, FRACS, FA(Ortho)A, PhD1; Kevin Eng, FRACS2; Matthias A. Zumstein, MD3
1 Department of Orthopedics and Traumatology, University of Adelaide, 196 Melbourne Street, North Adelaide 5006, South Australia, Australia. E-mail address: greg@gregbain.com.au
2 Department of Orthopaedics and Trauma, Modbury Public Hospital, Smart Road 5092, South Australia, Australia. E-mail address: Kevineng1977@yahoo.com
3 Shoulder and Elbow Unit, Department of Orthopaedic Surgery Traumatology, University of Bern, Inselspital 3010, Bern, Switzerland. E-mail address: matthias.zumstein@insel.ch
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Investigation performed at the University of Adelaide, South Australia, Australia

Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. One or more of the authors, or his or her institution, has had a financial relationship, in the thirty-six months prior to submission of this work, with an entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. No author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2013 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2013 Mar 13;3(1):e24 1-4. doi: 10.2106/JBJS.CC.L.00194
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Fractures of the clavicle constitute 2.6% of all adult fractures1. There is an increasing trend toward fixation of midshaft fractures, the most common subgroup2,3. Techniques include plate fixation, intramedullary screw fixation, and elastic nail osteosynthesis. Reported complications include wound dehiscence, infection, arterial injury4-7, and neurological injury8.
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