Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis

Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis

Clavicular fractures are some of the most common bone injuries in the paediatric population, yet the rates of nonunion are very low under 18 years. To the best of our knowledge, posttraumatic nonunion of the clavicle in a paediatric population is rarely reported. We report the case of an 11-year-old...

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Main Authors: Marco Odorizzi, Maurice FitzGerald, Jorge Gonzalez, Dario Giunchi, Flurim Hamitaga, Vincenzo De Rosa
Format: Article
Language:English
Published: Hindawi Limited 2020-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2020/4069431
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spelling doaj-079565df1a8f4e5f88a35bf5cb8c66062020-11-25T02:55:48ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/40694314069431Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and AnalysisMarco Odorizzi0Maurice FitzGerald1Jorge Gonzalez2Dario Giunchi3Flurim Hamitaga4Vincenzo De Rosa5Paediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana (IPSI), Bellinzona and Valli Regional Hospital, Ticino, SwitzerlandPaediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana (IPSI), Bellinzona and Valli Regional Hospital, Ticino, SwitzerlandPaediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana (IPSI), Bellinzona and Valli Regional Hospital, Ticino, SwitzerlandPaediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana (IPSI), Bellinzona and Valli Regional Hospital, Ticino, SwitzerlandPaediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana (IPSI), Bellinzona and Valli Regional Hospital, Ticino, SwitzerlandPaediatric and Orthopaedic Surgical Department, Istituto Pediatrico della Svizzera Italiana (IPSI), Bellinzona and Valli Regional Hospital, Ticino, SwitzerlandClavicular fractures are some of the most common bone injuries in the paediatric population, yet the rates of nonunion are very low under 18 years. To the best of our knowledge, posttraumatic nonunion of the clavicle in a paediatric population is rarely reported. We report the case of an 11-year-old girl who presented with a nondislocated fracture of the midshaft to the proximal third of the right clavicle. Initial conservative treatment by sling immobilization demonstrated radiologically confirmed healing at 3 months. However, at 1-year follow-up, she presented with painful nonunion. Diagnostic MRI and CT exams confirmed a pseudoarthrosis, requiring elective open reduction and internal fixation with the aid of an ipsilateral iliac crest bone graft.http://dx.doi.org/10.1155/2020/4069431
collection DOAJ
language English
format Article
sources DOAJ
author Marco Odorizzi
Maurice FitzGerald
Jorge Gonzalez
Dario Giunchi
Flurim Hamitaga
Vincenzo De Rosa
spellingShingle Marco Odorizzi
Maurice FitzGerald
Jorge Gonzalez
Dario Giunchi
Flurim Hamitaga
Vincenzo De Rosa
Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis
Case Reports in Orthopedics
author_facet Marco Odorizzi
Maurice FitzGerald
Jorge Gonzalez
Dario Giunchi
Flurim Hamitaga
Vincenzo De Rosa
author_sort Marco Odorizzi
title Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis
title_short Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis
title_full Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis
title_fullStr Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis
title_full_unstemmed Posttraumatic Pseudoarthrosis of a Clavicle Fracture in an 11-Year-Old Girl: A Case Report and Analysis
title_sort posttraumatic pseudoarthrosis of a clavicle fracture in an 11-year-old girl: a case report and analysis
publisher Hindawi Limited
series Case Reports in Orthopedics
issn 2090-6749
2090-6757
publishDate 2020-01-01
description Clavicular fractures are some of the most common bone injuries in the paediatric population, yet the rates of nonunion are very low under 18 years. To the best of our knowledge, posttraumatic nonunion of the clavicle in a paediatric population is rarely reported. We report the case of an 11-year-old girl who presented with a nondislocated fracture of the midshaft to the proximal third of the right clavicle. Initial conservative treatment by sling immobilization demonstrated radiologically confirmed healing at 3 months. However, at 1-year follow-up, she presented with painful nonunion. Diagnostic MRI and CT exams confirmed a pseudoarthrosis, requiring elective open reduction and internal fixation with the aid of an ipsilateral iliac crest bone graft.
url http://dx.doi.org/10.1155/2020/4069431
work_keys_str_mv AT marcoodorizzi posttraumaticpseudoarthrosisofaclaviclefractureinan11yearoldgirlacasereportandanalysis
AT mauricefitzgerald posttraumaticpseudoarthrosisofaclaviclefractureinan11yearoldgirlacasereportandanalysis
AT jorgegonzalez posttraumaticpseudoarthrosisofaclaviclefractureinan11yearoldgirlacasereportandanalysis
AT dariogiunchi posttraumaticpseudoarthrosisofaclaviclefractureinan11yearoldgirlacasereportandanalysis
AT flurimhamitaga posttraumaticpseudoarthrosisofaclaviclefractureinan11yearoldgirlacasereportandanalysis
AT vincenzoderosa posttraumaticpseudoarthrosisofaclaviclefractureinan11yearoldgirlacasereportandanalysis
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