Abstract
Clavicular pseudarthrosis is a rare condition. Its natural history is not well established, as to the risks of progression in size, deformity or pain. It is known that it does not heal spontaneously. Operative indications, best age for surgery and principles/type of surgery are not agreed; there is a diversity of opinion on all these aspects. An assessment of the literature defines the paucity of evidence. There are only 3 level III studies (all of which have small numbers and possible confounders, limitations sufficient to warrant downgrading their quality of evidence). Furthermore, the conclusions of two of the retrospective comparative studies, in terms of superior results from type of fixation (plate or intramedullary wire), are contradictory. There are 16 case series of note (level IV). Although there is little by way of concrete recommendation, it is hoped that this analysis and summary can aid pragmatic and considered decision-making when encountering a patient with this diagnosis.
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JSH acknowledges the translation/interpretation services of Miss Itza Tellez for the manuscript by Ullot Font et al. [12].
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Huntley, J.S. (2017). Evidence-Based Treatment of Congenital Clavicular Pseudarthrosis. In: Alshryda, S., Huntley, J., Banaszkiewicz, P. (eds) Paediatric Orthopaedics. Springer, Cham. https://doi.org/10.1007/978-3-319-41142-2_29
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