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[何时应考虑小儿先天性锁骨假关节?2例病例报告]

[When to think about pediatric congenital pseudoarthrosis of the clavicle? Presentation of 2 cases].

作者信息

Justich Zabala Pablo R, Giniger Vidal Rodolfo P, Rubio Pérez María J, Guirao Pérez José, Salcedo Canovas César

机构信息

Hospital La Vega, Murcia, España.

Hospital Clínico Universitario "Virgen de la Arrixaca" Murcia, España.

出版信息

Arch Argent Pediatr. 2020 Apr;118(2):e194-e198. doi: 10.5546/aap.2020.e194.

Abstract

The congenital pseudoarthrosis of the clavicle is a rare and benign malformation, characterized by the absence of the middle third of the clavicle. It is usually unilateral and the majority on the right side. The etiology is unknown, postulating diverse etiopathogenic theories (vascular, embryological and genetic). It can be detected in the neonatal period or, more frequently, during childhood. Occasionally it can be symptomatic. It may require treatment by surgical reconstruction by bone graft. Two cases are presented, one of neonatal diagnosis and another one of 3 years of age performed with 24 hours of difference. We emphasize on its consideration as a differential diagnosis of obstetric or post-traumatic fracture, cleidocranial dysplasia and neurofibromatosis type I.

摘要

先天性锁骨假关节是一种罕见的良性畸形,其特征为锁骨中段缺如。通常为单侧,多数发生于右侧。病因不明,存在多种发病机制理论(血管、胚胎学和遗传学)。可在新生儿期发现,或更常见于儿童期。偶尔会出现症状。可能需要通过骨移植进行手术重建治疗。本文介绍两例病例,一例为新生儿期诊断,另一例为3岁患儿,两例诊断间隔24小时。我们强调应将其作为产科或创伤后骨折、锁骨颅骨发育不全和I型神经纤维瘤病的鉴别诊断加以考虑。

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