Congenital pseudarthrosis of clavicle: illustrated operative technique and histological findings

Abstract

Congenital pseudarthrosis of the clavicle is a rare condition present at birth but often diagnosed later in childhood. Indications for surgical treatment include pain, deformity or neurovascular compromise. Reconstruction usually involves resection of the pseudarthrosis, placement of iliac crest bone graft or graft substitute and internal fixation. In this paper, we present a case of congenital pseudarthrosis of the clavicle in a 9-year-old boy who was treated with plate fixation and bone autograft. The majority of patients who undergo surgery because of cosmetic or functional problem heal well and proceed with a normal, unrestricted life. However, for those patients who are not bothered by the cosmetic appearance of the pseudarthrosis and are asymptomatic in that they are not functionally limited, non-surgical treatment is a viable option.

Late presentation of congenital pseudarthrosis of the clavicle

“…Congenital pseudarthrosis of the clavicle typically presents in infancy or in early childhood, with a painless prominence and hypermobile segment over the middle third of the clavicle mostly found in girls [14,7] . The cosmetic deformity tends to be slowly progressive, with an increase in noticeable prominence over the pseudarthrosis and foreshortening and dropping of the shoulder girdle over time.…”

Congenital pseudarthrosis of the clavicle in a 7-year-old girl: A case report treated with smooth elastic intramedullary pinning without bone grafting and literature review

“…Pseudarthrosis of the clavicle is most often an incidental discovery [8] as in our case, and rarely symptomatic. It can be revealed by pain, neurological disturbances [9] or by a disgraceful cosmetic appearance that leads parents to consult [10]. It rarely presents with complication such as the thoracic outlet syndrme [9, 11, 12 and 13].…”

Congenital pseudoarthrosis of the clavicle; a rare case

“…Congenital pseudoarthrosis of clavicle (CPC) is a rare condition that usually presents as a swelling in the clavicular region at birth or soon after birth, mostly found in girls and in the mid-right clavicle [1,2]. Possible genetic transmission of this disease has been suggested by a Autosomal dominant trait [3].…”