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Isolated fractures of the clavicle are among the commonest of traumatic fractures and usually, with appropriate treatment, will heal uneventfully. The clinician must be mindful that injuries to underlying vital structures, though rare, are a potentially serious complication. We report a case of an isolated fractured shaft of the clavicle complicated by a significant pneumothorax necessitating the insertion of a chest drain. Such a complication has been noted only rarely in the literature.1
The importance of early recognition of this potential complication by proper physical examination and by close …