title: Congenital pseudarthrosis of the clavicle causing thoracic outlet syndrome.
abstract: A 7-year-old girl presented with an asymptomatic right supraclavicular swelling. Radiographs were interpreted as showing a non-union of her clavicle. No treatment was given at this time. However, she represented 12 years later with right upper limb pain and altered sensation. Examination revealed a positive Allen's test on the right. Repeat radiographs demonstrated a pseudarthrosis of the clavicle, associated with a secondary complication of thoracic outlet syndrome with vascular and neurological complications present. Non-operative management failed to relieve her symptoms. Operative intervention successfully treated her symptoms.
authors: Department of Orthopaedics, Dr Gray's Hospital, NHS Grampian, Elgin, UK. hannahwatson1@nhs.net
authors: Hannah Isabella
authors: HI
authors: Watson
authors: Graeme Philip
authors: GP
authors: Hopper
authors: Peter
authors: P
authors: Kovacs
mesh_terms: D002648:Child; D002968:Clavicle / Q000002:abnormalities*; D018450:Disease Progression; D005260:Female; D006801:Humans; D011542:Pseudarthrosis / Q000150:complications*; D013901:Thoracic Outlet Syndrome / Q000209:etiology*; D055815:Young Adult
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