Congenital pseudarthrosis of the clavicle (CPC) is a very rare pathology of which over 200 cases have been reported. Usually discovered during the first months of life, CPC is characterised by a definitive bone defect in the middle third of the clavicle. Generally asymptomatic, the pseudarthrosis of the clavicle can cause aesthetic issues and functional symptoms indicating a surgical repair. Different reconstruction techniques have been reported with various complications. We present a 14-year-old boy diagnosed with CPC and concerned about the cosmetic aspect of a swelling of his right clavicle. We performed a two-stage surgical repair using the induced membrane technique described by Masquelet. A complete bone union has been obtained, and patient is satisfied with the cosmetic appearance. In our opinion, the Masquelet technique is a safe and reproducible procedure to treat CPC in high-risk older patients with long gap allowing a rapid and lasting bone union.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5695429 | PMC |
http://dx.doi.org/10.1136/bcr-2017-221557 | DOI Listing |
J Am Acad Orthop Surg Glob Res Rev
November 2024
From the College of Medicine, University of Florida, Gainesville, FL (Mr. Root), and the Department of Orthopaedics and Sports Medicine, University of Florida, Gainesville, FL (Dr. Hones and Dr. Farmer).
Int Orthop
October 2024
Department of Orthopedic Oncology Surgery, Beijing Jishuitan Hospital, Capital Medical University, Beijing, China.
Arthrosc Tech
September 2024
Department of Orthopaedics, University of Utah, Salt Lake City, Utah, U.S.A.
Congenital pseudarthrosis of the clavicle is a rare phenomenon with multiple proposed causes. Surgical management is typically indicated either because of the cosmetic appearance of the irregularity or, less commonly, for pain, particularly in adolescent patients. Multiple surgical methods have previously described in the literature, which have raised concern owing to the persistently high rate of nonunion postoperatively.
View Article and Find Full Text PDFCureus
August 2024
College of Medicine, King Faisal University, Al-Hofuf, SAU.
Congenital pseudarthrosis of the clavicle (CPC) is a rare disorder diagnosed at birth or early childhood presenting with a painless, non-tender mass on the clavicle. Its etiology is unknown, caused by failure of fusion of the medial and lateral ossification centers of the clavicle. Left-sided CPC is rare and linked to other pathological abnormalities.
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