Injury to the brachial plexus by a fragment of bone after fracture of the clavicle

Clavicular fractures are occasionally responsible for lesions of the brachial plexus. The symptoms are usually delayed and due to compression by hypertrophic callus, nonunion or a subclavian pseudoaneurysm. We describe a patient in whom a displaced bone fragment was pressing on the retroclavicular part of the brachial plexus, leading to early symptoms of a lesion of the posterior cord, Internal fixation of the clavicle and external neurolysis of the brachial plexus gave an almost full recovery.