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. 2015 Nov 16;47(1):21-6.
doi: 10.1016/S2255-4971(15)30341-4. eCollection 2012 Jan-Feb.

CONGENITAL PSEUDARTHROSIS OF THE CLAVICLE

Affiliations

CONGENITAL PSEUDARTHROSIS OF THE CLAVICLE

Marina Juliana Pita Sassioto Silveira de Figueiredo et al. Rev Bras Ortop. .

Abstract

Congenital pseudarthrosis of the clavicle (PCC) is a rare affection, that can be diagnosed at birth and represent a disturbance of union of the ossification centers. It's more common in girls and in the right side. This study objectives to proceed a revision about the subject, that was searched in online database of LILACS and MEDLINE. We found 56 articles till present data. Besides be a bit infrequent, the PCC must not be missed or even forgotten, especially as differential diagnosis with acute fracture of the clavicle at birth by trauma in the childbirth. The diagnostic is relatively easy and the treatment can be just observation or even surgical.

Keywords: Clavicle; Congenital Abnormalities; Pseudoarthrosis.

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Figures

Figure 1
Figure 1
Diagrams showing development of the right clavicle, according to Fawcett's stages. CT: connective tissue; PC: pre-cartilage; CCl Lig: costoclavicular ligament; C: calcified cartilage; B: bone; Br: bridge; O: ossification; DT: dense tissue.
Figure 2
Figure 2
Thirteen-year-old male patient with congenital pseudarthrosis of the right clavicle. Note the protuberance in the topographical region of the middle third of the right clavicle (red arrow) and normal range of motion. Radiograph showing the atrophic medial fragment positioned above the lateral fragment, and without formation of a bone callus (black arrow).

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