Congenital Pseudarthrosis of the Clavicle and Thoracic Outlet Syndrome in Adolescence

J, Sales de Gauzy; Baunin, C.; Puget, C.; Fajadet, P; Jp, Cahuzac

doi:10.1097/00009957-199910000-00013

Cited by 13 publications

(12 citation statements)

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“…Our case shows originality in that the progression of TOS symptoms was unrelated to a traumatic event but simply due to the anatomical progression of the CPC. So although the majority of CPC cases remain asymptomatic throughout life, we have shown that some of the cohort will develop complicated issues surrounding the CPC that may require operative intervention 15 22 24…”

Section: Discussionmentioning

confidence: 98%

“…Arterial: Arm +/or hand coolness Fatigue Ischaemia Gangrene25 Thromboembolic event Subclavian aneurysm15 …”

Section: Discussionmentioning

confidence: 99%

“…Surgical options include excision of the pseudarthrosis plus: Internal fixation (plates and screws,29 screws alone29), Kirschner wires,8 12 14 15 intramedullary Steinmann pins4 Bone grafting14 29 +/− internal fixation External fixation …”

Section: Discussionmentioning

confidence: 99%

“…Internal fixation (plates and screws,29 screws alone29), Kirschner wires,8 12 14 15 intramedullary Steinmann pins4…”

Section: Discussionmentioning

confidence: 99%

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Congenital pseudarthrosis of the clavicle causing thoracic outlet syndrome

Watson¹,

Hopper

Kovács

2013

BMJ Case Reports

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A 7-year-old girl presented with an asymptomatic right supraclavicular swelling. Radiographs were interpreted as showing a non-union of her clavicle. No treatment was given at this time. However, she represented 12 years later with right upper limb pain and altered sensation. Examination revealed a positive Allen's test on the right. Repeat radiographs demonstrated a pseudarthrosis of the clavicle, associated with a secondary complication of thoracic outlet syndrome with vascular and neurological complications present. Non-operative management failed to relieve her symptoms. Operative intervention successfully treated her symptoms.

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Section: Discussionmentioning

confidence: 98%

“…Arterial: Arm +/or hand coolness Fatigue Ischaemia Gangrene25 Thromboembolic event Subclavian aneurysm15 …”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Internal fixation (plates and screws,29 screws alone29), Kirschner wires,8 12 14 15 intramedullary Steinmann pins4…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Congenital pseudarthrosis of the clavicle causing thoracic outlet syndrome

Watson¹,

Hopper

Kovács

2013

BMJ Case Reports

View full text Add to dashboard Cite

show abstract

“…Sofern von den Patienten die kosmetische Beeinträchtigung akzeptiert werden kann, wird von einigen Autoren keine Indikation für ein operatives Vorgehen gesehen [5,22,23]. In der Arbeit von Toledo et al [21] wird schlieûlich auf schwer wiegende Komplikationen unter der operativen Therapie hingewiesen, während Komplikationen durch eine nicht behandelte Klavikulapseudarthrose als extrem selten angesehen werden können [18].…”

Section: Diskussionunclassified