Hostname: page-component-78c5997874-g7gxr Total loading time: 0 Render date: 2024-11-17T23:36:43.925Z Has data issue: false hasContentIssue false
  • English
  • Français

Clavicle Pseudarthrosis: A Rare Cause of Thoracic Outlet Syndrome

Published online by Cambridge University Press:  23 September 2016

Kathleen Joy Khu  and
Rajiv Midha
Kathleen Joy Khu
Affiliation:
Division of Neurosurgery, Department of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
Rajiv Midha*
Affiliation:
Division of Neurosurgery, Department of Clinical Neurosciences and Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada
*
Division of Neurosurgery, Department of Clinical Neurosciences, University of Calgary, Room 1195, 1403 - 29 Street NW, Calgary, Alberta, T2N 2T9, Canada
Rights & Permissions [Opens in a new window]

Extract

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

A 22-year-old man presented with a one year history of rightsided shoulder pain, hand weakness and tingling, and purplish discoloration of the upper extremity upon abduction. He had congenital pseudarthrosis of the right clavicle since childhood. Aside from an obvious deformity characterized by asymmetry of the shoulders and a palpable bony depression over the right clavicle, the patient had been previously asymptomatic. Physical examination revealed the musculoskeletal deformities as described, as well as prominent veins over his right shoulder, arm, and chest. With arm elevation, his right arm became dusky and his radial pulse diminished. Neurologically, the patient had no deficits except for mild weakness (Grade 4+/5) of the ulnarinnervated intrinsic muscles of the right hand. The clinical findings were consistent with a combined neurogenic and vascular form of thoracic outlet syndrome.

Type
Neuroimaging Highlights
Information
Canadian Journal of Neurological Sciences , Volume 37 , Issue 6 , November 2010 , pp. 863 - 865
Copyright
Copyright © The Canadian Journal of Neurological 2010

References

1. Cadilhac, C, Fenoli, B, Peretti, A, et al. Congenital pseudarthrosis of the clavicle: 25 childhood cases. Rev Chir Orthop Reparatrice Appar Mot. 2000;86(6):575–80.11060431Google Scholar
2. Sloan, A, Paton, R. Congenital pseudarthrosis of the clavicle: the role of CT-scanning. Acta Orthop Belg. 2006;72(3):356–8.16889151Google Scholar
3. Young, MC, Richards, RR, Hudson, AR. Thoracic outlet syndrome with congenital pseudarthrosis of the clavicle: treatment by brachial plexus decompression, plate fixation and bone grafting. Can J Surg. 1988;31(2):131–3.3280107Google Scholar
4. Bargar, WL, Marcus, RE, Ittleman, FP. Late thoracic outlet syndrome secondary to pseudarthrosis of the clavicle. J Trauma. 1984;24(9):857–9.10.1097/00005373-198409000-000166481840Google Scholar
5. Hahn, K, Shah, R, Shalev, Y, et al. Congenital clavicular pseudarthrosis associated with vascular thoracic outlet syndrome: case presentation and review of the literature. Cathet Cardiovasc Diagn. 1995;35(4):321–7.10.1002/ccd.18103504097497504Google Scholar
6. Lozano, P, Doaz, M, Riera, R, et al. Venous thoracic outlet syndrome secondary to congenital pseudarthrosis of the clavicle. Presentation in the fourth decade of life. Eur J Vasc Endovasc Surg. 2003;25(6):592–3.10.1053/ejvs.2002.186412787706Google Scholar
7. Sales de Gauzy, J, Baunin, C, Puget, C, et al. Congenital pseudarthrosis of the clavicle and thoracic outlet syndrome in adolescence. J Pediatr Orthop B. 1999;8(4):299–301.10513368Google Scholar
8. Valette, H. Congenital pseudarthrosis of the clavicle and thoracic outlet syndrome. Report of a case and review of the literature. J Mal Vasc. 1995;20(1):51–2.7745360Google Scholar
9. Garnier, D, Chevalier, J, Ducasse, E. Arterial complications of thoracic outlet syndrome and pseudarthrosis of the clavicle: three patients. J Mal Vasc. 2003;28(2):79–84.12750638Google Scholar