Ultrasonographic Imaging of Congenital Pseudoarthrosis of the Clavicle

Zusammenfassung

107 Säuglinge, 47 davon mit der Verdachtsdiagnose einer kongenitalen Klavikulafraktur, wurden klinisch und ultrasonographisch untersucht, letzteres in Form der Real-time-Sonographie beider Schultern mit einem 5 - 13-MHz-Linear-array-Transducer. Die Verdachtsdiagnose konnte bei 35 Kindern bestätigt werden. Die Autoren beschreiben die Ultraschallbefunde bei Klavikulafraktur resp. kongenitaler Pseudarthrose und empfehlen die Sonographie als Methode der Wahl zur Diagnostik dieser Krankheitsbilder bei Kindern.

Abstract

The purpose of this work is to demonstrate the diagnosis of congenital pseudoarthrosis of the clavicle (C.P.C.) with ultrasound. The current study demonstrates the feasibility of ultrasound (U.S.) to diagnose also C.P.C. We suggest that U.S. should be the imaging procedure of choice to diagnose pathologies of the clavicle in children.

References

• 1 Ahmadi B, Steel H H. Congenital Pseudarthrosis of the clavicle.  Clin Orthop. 1977;  126 129-134
• 2 Alldred A J. Congenital Pseudoarthrosis of the clavicle.  J Bone Joint Surg [Br]. 1963;  45 312
• 3 Blankstein A, Ganel A, Salai M. et al . Fracture of the clavicle in the newborn: Detection and follow-up by sonography.  Akt Traumatol. 2001;  31 27-29
• 4 Cataldo F. A 7-month-old child with a clavicular swelling since birth. Diagnosis: congenital pseudarthrosis of the clavicle.  Eur J Pediatr. 1999;  158 1001-1002
• 5 Gibson D A, Carroll N. Congenital pseudarthrosis of the clavicle.  J Bone Joint Surg [Br]. 1970;  52 629-643
• 6 Grogan D P, Love S M, Guidera K J. Operative treatment of congenital pseudarthrosis of the clavicle.  J Pediatr Orthop. 1991;  11 176-180
• 7 Lloyd-Roberts G L, Apley A G, Owen R. Reflection upon the etiology of congenital pseudarthrosis of the clavicle.  J Bone Joint Surg [Br]. 1975;  58 24
• 8 Mooney J F, Koman L A. Bilateral congenital pseudarthrosis of the clavicle associated with trisomy 22.  Orthopedics. 1991;  14 171-173
• 9 Owen R. Congenital pseudarthrosis of the clavicle.  J Bone Joint Surg [Br]. 1970;  52 644-652
• 10 Sakkers R J, Tjin a Ton E, Bos C F. Left-sided congenital pseudarthrosis of the clavicula.  J Pediatr Orthop B. 1999;  8 45-47
• 11 Sales de Gauzy J, Baunin C, Puget C. Congenital pseudarthrosis of the clavicle and thoracic outlet syndrome in adolescence.  J Pediatr Orthop B. 1999;  8 299-301
• 12 Schnall S B, King J D, Marrero G. Congenital pseudarthrosis of the clavicle: a review of the literature and surgical results in six cases.  J Pediatr Orthop. 1988;  8 316-321
• 13 Shalom A, Khermosh O, Wientroub S. The natural history of congenital pseudarthrosis of the clavicle.  J Bone Joint Surg [Br]. 1994;  76 846-867