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Fractured clavicle and vascular complications
  1. A K J Mandal1,
  2. J Jordaan2,
  3. C G Missouris3
  1. 1Department of Cardiology, Wexham Park Hospital, Slough, Berkshire and Imperial College, London, UK
  2. 2Departments of Cardiology and Emergency Medicine, Wexham Park Hospital
  3. 3Department of Cardiology, Wexham Park Hospital and The Royal Brompton Hospital
  1. Correspondence to:
 Dr A K J Mandal
 Department of Cardiology, Wexham Park Hospital, Wexham Street, Slough, Berkshire SL2 4HL, UK;

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A 55 year old right handed man presented with a three month history of left arm pain and precordial chest discomfort. His symptoms had started three months previously after a heavy game of squash. Three years before the acute episode, he was involved in a motorcycle accident and had sustained a left mid-clavicular fracture.

On clinical examination he was …

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