Related Experiment Videos
Congenital pseudarthrosis of the clavicle: a case report
T A Beslikas1, D J Dadoukis, I P Gigis
1Second Orthopaedic Department, Aristotle University of Thessaloniki, Greece.
Insights
Congenital pseudarthrosis of the clavicle, a rare condition, was successfully treated in a child using an external fixator. This surgical approach resulted in excellent outcomes, pain relief, and satisfactory cosmetic results with minimal scarring.
Area of Science:
- Orthopedics
- Pediatric Surgery
- Developmental Biology
Background:
- Congenital pseudarthrosis of the clavicle is a rare birth defect with unclear origins.
- Its development is linked to the embryological formation of the clavicle.
Observation:
- A 6-year-old girl presented with congenital pseudarthrosis of the right clavicle, noted at birth.
- A noticeable prominence between the mid and distal clavicle enlarged with shoulder movement.
Findings:
- Radiographic evaluation confirmed a hypertrophic pseudarthrosis of the clavicle.
- Surgical resection and fixation with an external fixator achieved bone union in 2 months.
Implications:
- External fixation for congenital pseudarthrosis of the clavicle in children offers excellent cosmetic results.
- This method minimizes scarring and eliminates the need for implant removal surgery.
Abstract:
Congenital pseudarthrosis of the clavicle is a rare entity of unknown aetiology. Its pathogenesis is related to the embryology of the clavicle. We present a 6-year-old girl with congenital pseudarthrosis of the right clavicle. A prominence was noticed at birth between the middle and distal ends of the clavicle that increased in size when the right shoulder was actively mobilised. Radiographic examination revealed a hypertrophic pseudarthrosis of the clavicle. The pseudarthrosis was resected and the clavicular segments were fixed with an external fixator for 2 months until union. Clinical results were excellent at the 7-year follow-up: the right shoulder was pain-free and the appearance satisfactory. Surgical treatment of congenital pseudarthrosis of the clavicle in children using an external fixator provides a better cosmetic outcome with smaller postoperative scars and avoids a second surgical procedure to remove the implants.
Related Concept Videos
01:09Changes in the Appendicular Skeleton with Age
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
01:24Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...