Non-union of the Clavicle Osteotomy Site in an Infant with Birth Brachial Plexus Palsy

Jain, Deepak; Kumar, Aditya H.; Venkatadass, K.; Bhardwaj, Praveen

doi:10.1142/s2424835522720511

J Hand Surg Asian-Pac Vol

2022

DOI: 10.1142/s2424835522720511

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Non-union of the Clavicle Osteotomy Site in an Infant with Birth Brachial Plexus Palsy

Deepak Jain

Aditya H. Kumar

K. Venkatadass

et al.

Abstract: Non-union of the clavicle in the paediatric population is extremely rare. Some anecdotal case reports show non-union following clavicle fracture. However, we could not find any report of non-union following osteotomy for brachial plexus surgery. We report non-union of clavicle following its osteotomy for brachial plexus exploration surgery in a 6-month child. We present successful management of the clavicle non-union in this patient and propose preventive steps. Level of Evidence: Level V (Therapeutic)

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2024

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Extension patterns of giant lipomas arising from the brachial plexus Giant Lipomas from Brachial Plexus

Muramatsu,

Tani,

Ueda

et al. 2024

Preprint

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Purpose Benign adipose tumors in close proximity to the major nerves are termed troublesome lipomas and are indicated for resection because of neurological impairment. Until now, however, limited cases of giant lipoma arising from the brachial plexus region have been reported. We discussed our experience with cases of giant lipomas arising from the brachial plexus region Methods We reviewed six cases treated in our hospital. There were 4 males and 2 females with the mean age of 55 years. On its greatest dimension, the size of the giant tumor ranged from 14 cm to 30 cm with an average of 21.6 cm. Based on MRI findings, the tumor extension patterns were divided, 1) lateral type, 2) posterior type and 3) inferior type. The symptoms were characteristic according to extension patterns of the tumor. Results Five patients who underwent tumor resection showed improvement in subjective symptoms early after surgery. An asymptomatic case with inferior type underwent only open biopsy. The histopathology in all cases confirmed ordinary lipomas. There was no local recurrence postoperatively. Conclusion Brachial plexus lipoma has potential to grow unexpectedly large due to repetitive microtrauma. The indication for tumor resection surgery should be considered in each type of tumor extension. The lateral type, which directly causes neurological symptoms, is the most indicative for tumor resection, while the posterior type is more suitable for surgery due to pain and thoracic outlet syndrome. In the case with inferior extension type, the patient was asymptomatic and the operative indication should be less.

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Extension patterns of giant lipomas arising from the brachial plexus Giant Lipomas from Brachial Plexus

Muramatsu,

Tani,

Ueda

et al. 2024

Preprint

View full text Add to dashboard Cite

show abstract

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Non-union of the Clavicle Osteotomy Site in an Infant with Birth Brachial Plexus Palsy

Cited by 1 publication

References 6 publications

Extension patterns of giant lipomas arising from the brachial plexus Giant Lipomas from Brachial Plexus

Extension patterns of giant lipomas arising from the brachial plexus Giant Lipomas from Brachial Plexus

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