Congenital Pseudarthrosis of the Clavicle

Alldred, A. J.

doi:10.1302/0301-620x.45b2.312

Cited by 75 publications

(56 citation statements)

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“…A genetic basis for congenital pseudarthrosis of the clavicle and possible an autosomal dominant type of transmission is unclear but suggested and illustrated by Gibson and Carrol [9] . The development of the clavicle from two separate centers and failure of their coalescence can be responsible for the development of pseudarthrosis [2] . Currently most authors believe that the condition is caused by extrinsic pressure exerted on the budding clavicle by the adjacent pulsatile right subclavian artery directly under the area of the defect and normally situated at a higher location compared to the left side [11] .…”

Section: Discussionmentioning

confidence: 99%

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Late presentation of congenital pseudarthrosis of the clavicle

Dučić¹,

Bojovic²,

Raičević³

et al. 2017

Int. J. Orthop. Sci.

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Congenital pseudarthrosis of the clavicle is a rare clinical entity, first described in 1910. We report on a 15 year old girl, who presented with a painless lump over mid-portion of right clavicle at her routine newborn examination, which was subsequently diagnosed as a congenital pseudarthrosis when she got into adolescence period. Here we explore its pathogenesis, elaborate on its diagnoses and differential diagnoses in paediatric patients, and comment on its distinct treatment.

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Section: Discussionmentioning

confidence: 99%

“…The optimal age for surgery is controversial. Most specialists recommend delaying surgery until the patient is approximately three to six years of age [2,10] . Others recommend early surgical treatment during infancy.…”

Section: Discussionmentioning

confidence: 99%

Late presentation of congenital pseudarthrosis of the clavicle

Dučić¹,

Bojovic²,

Raičević³

et al. 2017

Int. J. Orthop. Sci.

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“…Others have suggested excision of the pseudarthrosis and grafting without using any type of fixation. 1,12,18 Surgical treatment of congenital pseudarthrosis of the clavicle using an external fixator is another possible technique. Since aesthetics are a major concern, the surgery is performed during childhood with an external fixator, yielding better cosmetic results with smaller postoperative scars and avoiding the need for a second surgical procedure to remove the implants.…”

Section: Discussionmentioning

confidence: 99%

Congenital Pseudarthrosis of the Clavicle: A Case Report

Beslikas

Dadoukis

Gigis

et al. 2007

J Orthop Surg (Hong Kong)

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Congenital pseudarthrosis of the clavicle is a rare entity of unknown aetiology. Its pathogenesis is related to the embryology of the clavicle. We present a 6-year-old girl with congenital pseudarthrosis of the right clavicle. A prominence was noticed at birth between the middle and distal ends of the clavicle that increased in size when the right shoulder was actively mobilised. Radiographic examination revealed a hypertrophic pseudarthrosis of the clavicle. The pseudarthrosis was resected and the clavicular segments were fixed with an external fixator for 2 months until union. Clinical results were excellent at the 7-year follow-up: the right shoulder was pain-free and the appearance satisfactory. Surgical treatment of congenital pseudarthrosis of the clavicle in children using an external fixator provides a better cosmetic outcome with smaller postoperative scars and avoids a second surgical procedure to remove the implants.

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“…6,12,14 Occasionally, surgical treatment is needed. [1][2][3][4][5][8][9][10] Posttraumatic locked dislocation of congenital pseudarthrosis of the clavicle causing neurologic symptoms as a result of direct pressure on the brachial plexus has not been reported previously. It was successfully treated by open reduction of the dislocation, excision of the pseudarthrotic bone ends, and internal fixation with local bone graft.…”

Section: Discussionmentioning

confidence: 99%

“…It is generally right-sided, 1,2,7,9,13 but some cases involving the left side have been described. 2,7 It is usually associated with dextrocardia.…”

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confidence: 99%