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Hypoplastic clavicles and lateral scapular redirection.

K J Guidera1, D P Grogan, L Pugh

  • 1Shriners Hospital for Crippled Children, Tampa, FL 33612.

Journal of Pediatric Orthopedics
|July 1, 1991
PubMed
Summary
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Bilateral hypoplastic clavicles cause shoulder and scapula displacement. This rare skeletal dysplasia may be inherited in an autosomal dominant pattern, but often presents sporadically without family history.

Area of Science:

  • Orthopedics
  • Medical Genetics
  • Skeletal Dysplasias

Background:

  • Clavicular hypoplasia is a rare congenital condition affecting bone development.
  • Shoulder and scapular positioning are crucial for upper limb function and thoracic structure.

Observation:

  • Three patients presented with bilateral hypoplastic clavicles.
  • Anterolateral displacement of the shoulders and scapulas on the thoracic cage was noted in all patients.
  • The clavicles were underdeveloped, and scapulas were repositioned laterally on the thorax.

Findings:

  • The condition involves underdeveloped clavicles and scapular malpositioning, leading to anterior shoulder displacement.
  • One case had no family history, while another suggested autosomal dominant inheritance due to maternal history.

Related Experiment Videos

  • Despite skeletal abnormalities, patients experienced no significant functional limitations.

    • Implications:

    • This case series expands the understanding of bilateral hypoplastic clavicles and associated scapular displacement.
    • The findings suggest a potential genetic component, possibly autosomal dominant, for this rare skeletal dysplasia.
    • The lack of functional impairment highlights the body's adaptive capabilities in rare skeletal conditions.