From the College of Medicine, University of Florida, Gainesville, FL (Mr. Root), and the Department of Orthopaedics and Sports Medicine, University of Florida, Gainesville, FL (Dr. Hones and Dr. Farmer).
J Am Acad Orthop Surg Glob Res Rev. 2024 Nov 7;8(11). doi: 10.5435/JAAOSGlobal-D-24-00015. eCollection 2024 Nov 1.
Congenital pseudarthrosis of the clavicle remains remarkably rare, and the pathogenesis is unclear, but orthopaedic surgeons should be prepared to make this diagnosis and confident in the outcomes of open reduction and internal fixation with grafting. A 15-year-old female softball player presented with anterior shoulder pain during softball activities, with no precipitating trauma. She was diagnosed with congenital pseudarthrosis of the clavicle and initially treated conservatively. Following no improvement with physical therapy, home therapy, rest, and anti-inflammatory drugs, she was treated with open reduction and internal fixation of the clavicle with iliac crest autograft and demineralized bone matrix allograft.
先天性锁骨假关节仍然非常罕见，其发病机制尚不清楚，但矫形外科医生应该准备好做出这一诊断，并对切开复位内固定加植骨的治疗结果有信心。一名 15 岁的女子垒球运动员在垒球运动中出现前肩部疼痛，无明显诱因。她被诊断为先天性锁骨假关节，并最初接受保守治疗。物理治疗、家庭治疗、休息和抗炎药物治疗均未见改善后，她接受了切开复位内固定锁骨加髂嵴自体骨移植和脱钙骨基质同种异体骨移植治疗。
