PMID: 16527097Mar 11, 2006Paper

Congenital pseudarthrosis of the clavicle: a review of nine cases

Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
R Ullot FontS Hernández Bou

Abstract

Congenital pseudarthrosis of the clavicle (CPC) is a rare malformation of the scapular waist of unknown etiology. About 200 cases have been reported. The lesion is usually right-sided and unilateral. Physical examination reveals swelling over the midportion of the clavicle, usually asymptomatic, and the diagnosis is confirmed by plain radiology. The differential diagnosis includes posttraumatic pseudarthrosis, cleidocranial dysostosis and neurofibromatosis. Surgical treatment is indicated in symptomatic patients or those with major deformity. We performed a retrospective review of the medical records of 9 patients with CPC managed in our hospital. We studied 5 girls and 4 boys with unilateral right CPC. None of them had a familial history of CPC. Four complained of local pain, without functional impairment, and clavicular asymmetry on x-ray ranging from 0.5 to 1 cm, without accompanying pathologic findings. Surgical treatment was performed in 5 patients, with resection of fibrous pseudarthrosis, internal fixation, and iliac bone graft. In 4 patients callus response was achieved at 2 months. The remaining patient required withdrawal of orthopaedic material 2 months after surgery because of its protrusion through the skin, withou...Continue Reading

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.

Related Papers

La Pediatria medica e chirurgica : Medical and surgical pediatrics
L C PantanoS Morandini
Acta Orthopaedica Scandinavica
W R QuinlanB F Regan
Revue de chirurgie orthopédique et réparatrice de l'appareil moteur
C CadilhacP Rigault
© 2021 Meta ULC. All rights reserved