Congenital pseudarthrosis of the clavicle: a systematic review

Assouto, Cédric Bignon Ulrich; Bertoncelli, Carlo M.; Gauci, Marc-Olivier; Monticone, Marco; Bagui, Sikha; Rampal, Virginie; Solla, Federico

doi:10.1007/s00264-022-05470-6

Cited by 2 publications

(4 citation statements)

References 28 publications

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“…The latter authors recommended the use of autograft and stable fixation after the age of 7 years, despite the evidence from the literature not supporting the best age for surgical treatment. Assouta et al [40] overestimated the ratio of reported cases that had undergone surgery as about three-fourth (we identified a ratio of about 0.6) and only identified a complication rate of 15%, which is about half of our identified rate.…”

Section: Discussioncontrasting

confidence: 68%

“…Assouta et al . [40] overestimated the ratio of reported cases that had undergone surgery as about three-fourth (we identified a ratio of about 0.6) and only identified a complication rate of 15%, which is about half of our identified rate.…”

Section: Discussioncontrasting

confidence: 55%

“…DePaoli et al [13] conducted one of only two systematic reviews for CPC [231/240 patients/clavicles (54% of patients/52.9% of clavicles we identified)] of which 156 patients (57% of patients we identified) had undergone operative treatment, showing that the included articles showed poor overall study qualities, with the authors have been unable to clarify indications for surgery, best age for surgical treatment and what the expected clinical, functional and cosmetic outcomes are from a patient perspective. Assouto et al [40] included only 191 patients/194 in their systematic review of which 151 clavicles were operated on, reporting no difference between the use of pins and plates, but stated that their expert opinion is in favour of locking plates because of the recent literature mostly reporting the use of plates. The latter authors recommended the use of autograft and stable fixation after the age of 7 years, despite the evidence from the literature not supporting the best age for surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

“…Assouto et al . [40] included only 191 patients/194 clavicles in their systematic review of which 151 clavicles were operated on, reporting no difference between the use of pins and plates, but stated that their expert opinion is in favour of locking plates because of the recent literature mostly reporting the use of plates. The latter authors recommended the use of autograft and stable fixation after the age of 7 years, despite the evidence from the literature not supporting the best age for surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

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The incidence of congenital pseudarthrosis of the clavicle and review of the literature

Rehm¹,

Ashby²,

Thahir³

et al. 2022

Journal of Pediatric Orthopaedics B

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The aim of this study was to identify the hitherto unknown incidence of congenital pseudarthrosis of the clavicle (CPC), based on a cohort of continuous livebirths born in our hospital, to review the literature and investigate if there is evidence supporting the published association between left-sided CPC and dextrocardia. From our electronic medical record and radiology databases, we identified all live births and patients with the diagnosis of CPC born from 2000 to 2016. We reviewed the imaging which included one or both clavicles to search for unrecorded CPC cases and reviewed all retrievable CPC publications listed in PubMed and publications quoted within these publications going back to 1910. We identified 87 407 livebirths of which 41 800 had radiological studies done, 14 885 showing one or both clavicles. We found five cases of CPC, two from the electronic database and three from our imaging review, giving an incidence of 1 of 17 481 livebirths. We identified 138 publications reporting paediatric and adult CPC cases and 12 review articles, including 429 patients (187 female; 159 male; 83 unknown) with 456 CPCs and a minimum of 24 additional patients from case reports for which we could not retrieve details. Two publications reported one case of left-sided CPC with dextrocardia, either not showing left/right marking or only showing the CPC with the aortic knob on the same side. We report the first CPC incidence of 0.0057%, provide the by far most inclusive CPC epidemiology based on 429 patients and could not find reliable proof that there has ever been a patient with left-sided CPC which was associated with dextrocardia.

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Section: Discussioncontrasting

confidence: 68%

Section: Discussioncontrasting

confidence: 55%