eMedicine Specialties > Orthopedic Surgery > Pediatrics
Congenital Pseudoarthrosis of the Clavicle: Workup
Updated: Jun 11, 2008
Workup
Laboratory Studies
- In general, laboratory studies are not necessary. Genetic testing is indicated in bilateral cases in which a syndrome is suspected.
Imaging Studies
- Plain radiographs12
- Anterior, posterior, and apical lordotic views usually are sufficient.
- Pseudoarthrosis of the mid clavicle on the right is easily visualized and has a characteristic pattern, with anterior and superior tilting of the sternal half and a smaller acromial portion.
- MRI
- MRI may be used to determine the extent of the fibrous union, the location of the great vessels, and the space available within the thoracic outlet.
- MRI rarely is indicated.
Histologic Findings
Histologic findings consist of synovial-lined pseudoarthrosis.11
More on Congenital Pseudoarthrosis of the Clavicle |
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Workup: Congenital Pseudoarthrosis of the Clavicle |
| Treatment: Congenital Pseudoarthrosis of the Clavicle |
| Follow-up: Congenital Pseudoarthrosis of the Clavicle |
| References |
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References
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Gibson DA, Carroll N. Congenital pseudarthrosis of the clavicle. J Bone Joint Surg Br. Nov 1970;52(4):629-43. [Medline].
Cataldo F. A 7-month-old child with a clavicular swelling since birth. Diagnosis: congenital pseudarthrosis of the clavicle. Eur J Pediatr. Dec 1999;158(12):1001-2. [Medline].
Ettl V, Wild A, Krauspe R, Raab P. Surgical treatment of congenital pseudarthrosis of the clavicle: a report of three cases and review of the literature. Eur J Pediatr Surg. Feb 2005;15(1):56-60. [Medline].
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Shalom A, Khermosh O, Wientroub S. The natural history of congenital pseudarthrosis of the clavicle. J Bone Joint Surg Br. Sep 1994;76(5):846-7. [Medline].
Owen R. Congenital pseudarthrosis of the clavicle. J Bone Joint Surg Br. Nov 1970;52(4):644-52. [Medline].
Alldred AJ. Congenital Pseudoarthrosis of the clavicle. J Bone Joint Surg Br. 1963;45B:312.
Ahmadi B, Steel HH. Congenital pseudarthrosis of the clavicle. Clin Orthop. Jul-Aug 1977;(126):129-34. [Medline].
Mooney JF, Koman LA. Bilateral congenital pseudarthrosis of the clavicle associated with trisomy 22. Orthopedics. Feb 1991;14(2):171-3. [Medline].
Gomez-Brouchet A, Sales de Gauzy J, Accadbled F, Abid A, Delisle MB, Cahuzac JP. Congenital pseudarthrosis of the clavicle: a histopathological study in five patients. J Pediatr Orthop B. Nov 2004;13(6):399-401. [Medline].
Sloan A, Paton R. Congenital pseudarthrosis of the clavicle: the role of CT-scanning. Acta Orthop Belg. Jun 2006;72(3):356-8. [Medline].
Schnall SB, King JD, Marrero G. Congenital pseudarthrosis of the clavicle: a review of the literature and surgical results of six cases. J Pediatr Orthop. May-Jun 1988;8(3):316-21. [Medline].
Grogan DP, Love SM, Guidera KJ. Operative treatment of congenital pseudarthrosis of the clavicle. J Pediatr Orthop. Mar-Apr 1991;11(2):176-80. [Medline].
Beslikas TA, Dadoukis DJ, Gigis IP, Nenopoulos SP, Christoforides JE. Congenital pseudarthrosis of the clavicle: a case report. J Orthop Surg (Hong Kong). Apr 2007;15(1):87-90. [Medline].
Sakkers RJ, Tjin a Ton E, Bos CF. Left-sided congenital pseudarthrosis of the clavicula. J Pediatr Orthop B. Jan 1999;8(1):45-7. [Medline].
Sales de Gauzy J, Baunin C, Puget C. Congenital pseudarthrosis of the clavicle and thoracic outlet syndrome in adolescence. J Pediatr Orthop B. Oct 1999;8(4):299-301. [Medline].
Further Reading
Keywords
congenital failure of formation clavicle, shoulder deformity, chest deformity, dextrocardia, situs inversus, neurofibromatosis, pseudarthrosis
Workup: Congenital Pseudoarthrosis of the Clavicle