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Reconstruction of Congenital Pseudarthrosis of the Clavicle with Use of the Masquelet TechniqueA Case Report
Richard Gouron, MD, PhD1; François Deroussen, MD1; Marie Juvet-Segarra, MD1; Marie-Christine Plancq, MD1; Louis-Michel Collet, MD1
1 Service d’Orthopédie Pédiatrique CHU Amiens Hôpital Nord Place, Victor Pauchet 80054 Amiens Cedex 1, France. E-mail address for R. Gouron: gouron.richard@chu-amiens.fr
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Investigation performed at the Department of Pediatric Orthopaedic Surgery, Amiens University Hospital, Jules Verne University of Picardie, Amiens, France



Disclosure: None of the authors received payments or services, either directly or indirectly (i.e., via his or her institution), from a third party in support of any aspect of this work. None of the authors, or their institution(s), have had any financial relationship, in the thirty-six months prior to submission of this work, with any entity in the biomedical arena that could be perceived to influence or have the potential to influence what is written in this work. Also, no author has had any other relationships, or has engaged in any other activities, that could be perceived to influence or have the potential to influence what is written in this work. The complete Disclosures of Potential Conflicts of Interest submitted by authors are always provided with the online version of the article.

Copyright © 2012 by The Journal of Bone and Joint Surgery, Inc.
JBJS Case Connector, 2012 Dec 12;2(4):e77 1-5. doi: 10.2106/JBJS.CC.L.00095
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Extract

Congenital pseudarthrosis of the clavicle is a rare disorder that is usually discovered during the first months of life, characterized by a bone defect in the middle third of the clavicle. It is an isolated congenital malformation of the shoulder girdle that should be distinguished from the nonunion observed in familial cleidocranial dysostosis and the nonunion associated with von Recklinghausen neurofibromatosis1. At diagnosis, pseudarthrosis of the clavicle is generally asymptomatic, but it can be responsible for aesthetic issues as the child grows and functional symptoms related to more intense activities. Surgical repair of pseudarthrosis of the clavicle is indicated for both cosmetic and functional reasons2,3. The surgical approach most commonly used consists of resection of the pseudarthrosis, placement of an iliac crest bone graft, and internal fixation4,5. When surgical resection is performed early and when periosteal repair is possible, internal fixation is not required6. Postoperative complications are rare and essentially consist of nonunion4-9.
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    These activities have been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the American Academy of Orthopaedic Surgeons and The Journal of Bone and Joint Surgery, Inc. The American Academy of Orthopaedic Surgeons is accredited by the ACCME to provide continuing medical education for physicians.
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