Congenital pseudoarthrosis associated with venous malformation

Al-Hadidy, Azmy M.; Haroun, Azmi A.; Al-Ryalat, N.; Hamamy, Hanan; Al-Hadidi, S.

doi:10.1007/s00256-006-0175-4

Cited by 5 publications

(5 citation statements)

References 18 publications

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“…Hermanns-Sachweh et al ( 31 ) suggested the thickened periosteum was caused by neural-like cells that form a tight sheath around the small periosteal vessels, causing narrowing or obliteration of the vessels. This results in a disturbance of the blood circulation of the periosteum, which in turn results in impaired oxygen and nutrient supply of the subperiosteal bone with subsequent fracture and recalcitrant nonunion ( 31 , 34 ). Kuorilehto et al ( 35 ) found that the arteriovenous wall thickening, lumen stenosis and vascular wall thickening, and partial obstruction of the vessels were observed.…”

Section: Discussionmentioning

confidence: 99%

Combination of the Ilizarov Method and Intramedullary Fixation for the Treatment of Congenital Pseudarthrosis of the Tibia in Children: A Retrospective Observational Study

et al. 2022

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PurposeCongenital pseudoarthrosis of the tibia (CPT) is a rare disease in children, and its treatment remains a challenge for orthopedic surgeons. The purpose of this study was to evaluate treatment outcomes of patients with CPT treated by using the Ilizarov method combined with intramedullary fixation.MethodEighteen patients evaluated retrospectively from January 2009 to January 2020 were treated using the Ilizarov method combined with intramedullary fixation. Demographic data, clinical characteristics, and complications were all recorded and investigated during the period of follow-up. Ankle function was evaluated by the American Orthopaedic Foot and Ankle Society (AOFAS) ankle-hindfoot scores at the last follow-up.ResultThe average follow-up was 39.2 months (25–85 months) for all 18 patients. The mean age was 6.2 years (3.5–11.2 years). Fourteen (77.8%) patients had a primary bone union at the site of pseudarthrosis, while four obtained union after secondary surgical intervention. The mean duration of the Ilizarov method was 8.1 months (4.2–13.5 months). Eight (44.4%) patients had a pin-tract infection during treatment. Four (22.2%) patients had proximal tibial valgus with a mean angle of 12.1° (5–25°), while seven (38.9%) patients had ankle valgus deformities with a mean of 10.3° (5–20°). Eleven (61.1%) patients had an average 1.4 cm of limb length discrepancy (LLD) (0.6–3.1 cm) postoperatively. Five (27.8%) patients had refracture and recovered after a secondary surgery. At the last follow-up, the average postoperative AOFAS score was 72 (55–84).ConclusionThe Ilizarov method combined with intramedullary fixation is an effective method for the treatment of CPT, which can facilitate bony union and help to prevent refracture. Management of fibular pseudarthrosis is associated with functional outcomes. It is necessary to follow up until skeletal maturity and evaluate long-term clinical outcomes.

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Section: Discussionmentioning

confidence: 99%

Combination of the Ilizarov Method and Intramedullary Fixation for the Treatment of Congenital Pseudarthrosis of the Tibia in Children: A Retrospective Observational Study

et al. 2022

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“…1,2 CPC is described as a clinical condition that is distinct from craniocleidodysostosis (CCD), obstetric delivery difficulties birth trauma resulting in secondary fractures and neurofibromatosis. 5,6 It was documented that CPC has an association with cervical ribs with roughly 15% of diagnosed cases. 7 However, our case showed no evidence of a cervical rib.…”

Section: Discussionmentioning

confidence: 99%

A rare case presentation for congenital pseudarthrosis of collar bone

Hulaibi¹,

Eid²,

Shubair³

et al. 2020

MOJOR

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Congenital pseudarthrosis of the clavicle (CPC) is a rare congenital malformation that was first described by FitzWilliams in 1910. 1 The second case reported by Saint-Pierre reported in a female patient diagnosed after birth for having right side CPC in 1930. 2 The incidence of these cases not well reported, which attributed to its infrequent presentation. In the case series, Owen's reported 33 cases and Cadhilac 25 cases. 3,4 This condition is considered a diagnostic challenge as it results in children of a difficult delivery, which sometimes diagnosed as a fracture secondary to birth trauma. At this moment, we present the first case diagnosed with congenital pseudarthrosis of the clavicle in our institution. Case presentation A 13-year-old male presented to the clinic accompanied by his father, he was following up after the left distal radius buckle fracture. During the general examination, there is a painless mass on the right middle third of the clavicle. Thus, he did not undergo any form of treatment until the presenting age. The patient was born by spontaneous delivery, and there was no history of recent trauma or birth difficulties. He is also medically and surgically free. On examination, a deformity on the middle third of the right clavicle was noted, which is localized and non-tender, cosmetically unappealing mass (Figure 1). No further masses or deformities identified anywhere else. No skin lesions or areas of hyperpigmentation were appreciated. There was a normal function of the right shoulder with no restriction of power or movement (Figure 1). The sensation was intact to the right hand, and grip strength was symmetric. The remainder of the examination was unremarkable. Plain radiographs of the right clavicle (Figure 2) at this time reported as showing a 'hypertrophic non-union of the clavicle of which the lateral component formed the bony lump in the right supraclavicular fossa'. At this stage, he was asymptomatic. Therefore, the decision was made to manage him conservatively, and he is arranged for further follow-up subsequently.

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“…Dependendo das condições de cultivo, as CMM da medula óssea podem se diferenciar em osteoblastos, adipócitos e condrócitos (ARVIDSON et al, 2011;GIULIANI et al, 2013 -HADIDY et al, 2007). Além disso, também pode ser uma doença congênita isolada sem associação a nenhuma doença já conhecida.…”

Section: Células Estromais Mesenquimais Multipotentes (Cmm)unclassified

“…Além disso, também pode ser uma doença congênita isolada sem associação a nenhuma doença já conhecida. (AL-HADIDY et al, 2007 ).…”

Section: Células Estromais Mesenquimais Multipotentes (Cmm)unclassified

“…A Pseudartrose Congênita resulta da falha do crescimento ósseo normal e da falha de formação do calo após uma fratura e tem sido reportado em ossos longos, como a tíbia (AL-HADIDY et al, 2007), fíbula (HEFTI et al, 2000) , ulna (RAMELLI et al, 2001) et al, 1996), e a incidência dessa doença no Brasil ainda não foi reportada.…”

Section: Células Estromais Mesenquimais Multipotentes (Cmm)unclassified

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Análise das características biológicas das células estromais mesenquimais multipotentes obtidas de diferentes regiões anatômicas de pacientes com Pseudoartrose Congênita da Tíbia

Romero¹

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Congenital pseudoarthrosis associated with venous malformation

Cited by 5 publications

References 18 publications

Combination of the Ilizarov Method and Intramedullary Fixation for the Treatment of Congenital Pseudarthrosis of the Tibia in Children: A Retrospective Observational Study

Combination of the Ilizarov Method and Intramedullary Fixation for the Treatment of Congenital Pseudarthrosis of the Tibia in Children: A Retrospective Observational Study

A rare case presentation for congenital pseudarthrosis of collar bone

Análise das características biológicas das células estromais mesenquimais multipotentes obtidas de diferentes regiões anatômicas de pacientes com Pseudoartrose Congênita da Tíbia

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