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BMJ Case Reports 2017; doi:10.1136/bcr-2017-221557
  • Rare disease
  • CASE REPORT

Congenital pseudarthrosis of the clavicle treated by Masquelet technique

  1. My Abderahmane Afifi
  1. Department of Pediatric Orthopedics and Traumatology, Centre Hospitalier Universitaire Hassan II, Universite SidiMohamed Ben Abdellah, Fes, Morocco
  1. Correspondence to Dr Hicham Abdellaoui, drabdellaoui{at}yahoo.fr
  • Accepted 30 October 2017
  • Published 8 November 2017

Summary

Congenital pseudarthrosis of the clavicle (CPC) is a very rare pathology of which over 200 cases have been reported. Usually discovered during the first months of life, CPC is characterised by a definitive bone defect in the middle third of the clavicle. Generally asymptomatic, the pseudarthrosis of the clavicle can cause aesthetic issues and functional symptoms indicating a surgical repair. Different reconstruction techniques have been reported with various complications. We present a 14-year-old boy diagnosed with CPC and concerned about the cosmetic aspect of a swelling of his right clavicle. We performed a two-stage surgical repair using the induced membrane technique described by Masquelet. A complete bone union has been obtained, and patient is satisfied with the cosmetic appearance. In our opinion, the Masquelet technique is a safe and reproducible procedure to treat CPC in high-risk older patients with long gap allowing a rapid and lasting bone union.

Footnotes

  • Contributors HA conceived the study, collected and analysed the data and participated in surgery and follow-up. MAA operated and followed up the patient and contributed to the analysis and interpretation of the case report and also to the concept of the study. LC and KA contributed to the refinement of the study and approved the final manuscript.

  • Competing interests None declared.

  • Patient consent Guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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