Abdellaoui Hicham, Atarraf Karima, Chater Lamiae, Afifi My Abderahmane
Department of Pediatric Orthopedics and Traumatology, Centre Hospitalier Universitaire Hassan II, Universite SidiMohamed Ben Abdellah, Fes, Morocco.
BMJ Case Rep. 2017 Nov 8;2017:bcr-2017-221557. doi: 10.1136/bcr-2017-221557.
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.
先天性锁骨假关节（CPC）是一种非常罕见的病理状况，已报告200多例。CPC通常在出生后的头几个月被发现，其特征是锁骨中三分之一处存在明确的骨缺损。锁骨假关节一般无症状，但可能导致美观问题和功能症状，提示需要进行手术修复。已报道了不同的重建技术及各种并发症。我们报告一名14岁男孩，被诊断为CPC，因右锁骨肿胀的外观问题前来就诊。我们采用Masquelet描述的诱导膜技术进行了两阶段手术修复。现已实现完全骨愈合，患者对外观满意。我们认为，Masquelet技术是一种安全且可重复的手术方法，可用于治疗高危大龄患者的长节段CPC，能实现快速且持久的骨愈合。
