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1.
Autops. Case Rep ; 8(3): e2018033, July-Sept. 2018. ilus
Article in English | LILACS | ID: biblio-911974

ABSTRACT

Simultaneous calcified fibrous pseudotumor (CFT) and Castleman disease (CD) is an extremely rare association. CD is an uncommon lymphoproliferative disease that can arise in various sites of the body, while CFT is a rare type of benign fibrous lesion that frequently affects children and young adults, occurring as solitary or multiple lesions throughout the human body. Both entities are rare and exhibit typical and diverse histomorphological features. We report the case of a 15-year-old female patient, who, at the age of 13 had a biopsy performed at an external medical center; however, after 4 months the lesion had regrown. This lesion was removed with a surgical operation; however, it regrew 2 years later and was removed a third time. The results of the latter two biopsies were the same: CFT accompanying CD. The histologic examination of the excised lymph node and the surrounding tissue showed hyalinized fibrous tissue containing dystrophic and psammomatous calcification. In this case, the hyaline vascular type of CD was found to be intertwined with a CFT, which hampered the differentiation of whether both entities emerged within the lymph node or if the CFT developed from the soft tissue and then involved the lymph node. Future studies involving larger case series will provide a more precise insight, which should serve to resolve the current uncertainty.


Subject(s)
Humans , Female , Adolescent , Castleman Disease/diagnosis , Clavicle/pathology , Lymph Nodes/pathology
2.
Rev. Asoc. Argent. Ortop. Traumatol ; 83(2): 124-130, jun. 2018. []
Article in Spanish | LILACS, BINACIS | ID: biblio-956428

ABSTRACT

La seudoartrosis de clavícula es una causa infrecuente de síndrome del opérculo torácico. Se describe un caso de plexopatía braquial por seudoartrosis previamente infectada de clavícula. La paciente fue sometida a una claviculectomía total para aliviar los síntomas. Del análisis de la literatura citada, se concluye en que la claviculectomía total es una opción por considerar si se han agotado las opciones terapéuticas. Los resultados funcionales pueden ser satisfactorios cuando se la indica por infección, plexopatía o sarcoma. Nivel de Evidencia: IV


Clavicle non-union is an uncommon cause of thoracic outlet syndrome. A case of brachial plexopathy by previously infected clavicle pseudarthrosis is described. Total claviculectomy was performed for symptom relief. From literature analysis we conclude that total claviculectomy is an option to be taken into account when therapeutic options have exhausted. Functional results could be adequate when total claviculectomy is indicated in cases of infection, plexopathy or sarcoma. Level of Evidence: IV


Subject(s)
Aged , Pseudarthrosis , Shoulder Joint/surgery , Cervical Rib Syndrome/surgery , Clavicle/surgery , Clavicle/pathology
3.
Acta ortop. mex ; 28(2): 82-87, mar.-abr. 2014. ilus
Article in Spanish | LILACS | ID: lil-720707

ABSTRACT

Antecedentes: Las fracturas de clavícula representan de 2 a 15% de las fracturas pediátricas. La literatura sugiere operar pacientes mayores de 9 años con acortamiento mayor o severa conminución en el trazo de fractura, pero nadie establece parámetros de acortamiento o angulación para el tratamiento conservador en niños. En pacientes pediátricos es importante tomar en cuenta el acortamiento relativo, es decir, aquel provocado por una fractura, ajustado a la longitud sana. Objetivo: Conocer la afectación del movimiento con relación al acortamiento relativo de clavícula en fracturas pediátricas tratadas de forma conservadora. Material y métodos: Estudio retrospectivo, longitudinal y observacional. Medimos radiográficamente el acortamiento relativo de la clavícula fracturada comparándola con el lado sano al momento de la fractura y una vez consolidada. El acortamiento se expresó en porcentajes. Las proyecciones utilizadas fueron: anteroposterior comparativa de hombros y panorámica con ambos hombros. Los pacientes se dividieron en 2 grupos: menores de 9 años y de 9 a 15 años. Resultados: Analizamos 94 fracturas, 31 mujeres y 63 hombres. No se presentó seudoartrosis o consolidación viciosa sintomática. El pronóstico fue bueno sin importar el porcentaje de acortamiento inicial. La edad y el acortamiento tienen una relación proporcional al periodo de rehabilitación y restitución de los arcos de movilidad sin molestias. Los rangos de valores registrados para acortamiento fueron de 9.5 a 28%. Conclusiones: Las indicaciones quirúrgicas por acortamiento para fracturas de clavícula pediátrica deben revisarse. Hemos observado buenos resultados a pesar del acortamiento mayor y desplazamiento total.


Background: Clavicle fractures represent 2-15% of pediatric fractures. The literature suggests operating on patients over 9 years of age with major shortening or severe comminution in the fracture line. However, no one establishes shortening or angulation parameters for conservative treatment in children. In pediatric patients it is important to take into account relative shortening, that is, the one caused by a fracture when compared with the length of the healthy clavicle. Objective: To know the effect of relative clavicle shortening on movement in pediatric fractures treated conservatively. Material and methods: Retrospective, longitudinal, observational study. We radiographically measured the relative shortening of the fractured clavicle comparing it with the healthy side at the time of the fracture and after fracture healing. Shortening was expressed in percentages. The following views were used: comparative anteroposterior view of the shoulders and panoramic view of both shoulders. Patients were divided into 2 groups: under 9 years and 9-15 years of age. Results: We analyzed 94 fractures; 31 in females and 63 in males. No pseudoarthrosis or symptomatic malunion occurred. The prognosis was good regardless of the initial shortening percentage. Age and shortening are proportionally related with the rehabilitation period and the restoration of painless ranges of motion. The value ranges recorded for shortening were 9.5 to 28%. Conclusions: The surgical indications for shortening resulting from pediatric clavicle fractures should be revised. We have observed good results despite major shortening and total displacement.


Subject(s)
Adolescent , Child , Female , Humans , Male , Clavicle/pathology , Fracture Healing/physiology , Fractures, Bone/therapy , Age Factors , Clavicle/injuries , Fractures, Bone/rehabilitation , Longitudinal Studies , Prognosis , Retrospective Studies , Time Factors
4.
Article in English | WPRIM | ID: wpr-184384

ABSTRACT

Desmoplastic fibroma of bone is a rare locally aggressive, but non-metastatic tumor. In this case report, we present a desmoplastic fibroma in an unusual location, the clavicle. Desmoplastic fibroma involving the clavicle is extremely rare, with only 2 reported cases before 1985. We report the imaging findings of a desmoplastic fibroma of the clavicle with a review of the relevant literature.


Subject(s)
Adult , Bone Neoplasms/diagnosis , Clavicle/pathology , Fibroma, Desmoplastic/diagnosis , Humans , Magnetic Resonance Imaging , Male , Tomography, X-Ray Computed
5.
Article in English | IMSEAR | ID: sea-157471

ABSTRACT

Clavicle is an unusual site for any primary bone tumour, including osteogenic sarcoma. Although a rare site of affection, most clavicular tumours tend to be malignant. We present a case report of osteosarcoma of the clavicle in a twelve-year-old male child who presented with a huge swelling of the left clavicle for the last six months.


Subject(s)
Child , Clavicle/pathology , Fatal Outcome , Humans , Male , Neoplasm Metastasis/complications , Neoplasm Metastasis/mortality , Osteosarcoma/complications , Osteosarcoma/drug therapy , Osteosarcoma/mortality
6.
Rev. bras. ortop ; 47(1): 21-26, jan.-fev. 2012. ilus
Article in Portuguese | LILACS | ID: lil-624800

ABSTRACT

A pseudartrose congênita de clavícula (PCC) é uma afecção rara, que representa um distúrbio na união dos núcleos de ossificação e que pode ser diagnosticada ao nascimento. É mais comum em meninas e do lado direito. Este trabalho tem por objetivo proceder a uma revisão bibliográfica sobre o tema, em pesquisa realizada nas bases de dados LILACS e MEDLINE. Foram encontrados 56 artigos publicados até a corrente data. Apesar de pouco frequente, a PCC não deve ser desconhecida ou mesmo esquecida, especialmente como diagnóstico diferencial com a fratura aguda da clavícula por distocia de parto e/ou tocotraumatismo. O diagnóstico é relativamente fácil e o tratamento pode ser apenas expectante ou até mesmo cirúrgico.


Congenital pseudarthrosis of the clavicle (PCC) is a rare affection, that can be diagnosed at birth and represent a disturbance of union of the ossification centers. It's more common in girls and in the right side. This study objectives to proceed a revision about the subject, that was searched in online database of LILACS and MEDLINE. We found 56 articles till present data. Besides be a bit infrequent, the PCC must not be missed or even forgotten, especially as differential diagnosis with acute fracture of the clavicle at birth by trauma in the childbirth. The diagnostic is relatively easy and the treatment can be just observation or even surgical.


Subject(s)
Humans , Male , Female , Congenital Abnormalities , Clavicle/pathology , Pseudarthrosis
7.
Article in English | IMSEAR | ID: sea-157366

ABSTRACT

Ewing sarcoma is a rare malignant round cell tumor of the bone. It is the second most common primary malignant tumor of bone found in children. It commonly affects long bones, pelvis and ribs. An 11 year old boy presented with painful swelling at the medial end of left clavicle. X-ray revealed a diaphyseal lesion of the medial end of the left clavicle with destruction of bone and mottled appearance. FNAC was done and reported as Malignant round cell tumor suggestive of Ewing sarcoma. Histopathologically the diagnosis of Ewing sarcoma was confirmed with special stains. Ewing sarcoma affecting clavicle is uncommon. Clavicle can be often resected with no need of reconstruction in young children.


Subject(s)
Child , Clavicle/pathology , Humans , Male , Sarcoma, Ewing/cytology , Sarcoma, Ewing/diagnosis , Sarcoma, Ewing/pathology , Sarcoma, Ewing/diagnostic imaging
8.
Radiol. bras ; 44(5): 336-338, set.-out. 2011. ilus
Article in Portuguese | LILACS | ID: lil-612939

ABSTRACT

A doença de Gorham é uma rara desordem osteolítica, de etiologia controversa, que pode afetar qualquer osso. O substrato histopatológico é a substituição óssea por uma formação expansiva de natureza vascular agressiva, não neoplásica. Descrevemos os achados radiográficos, tomográficos e de ressonância magnética de um caso desta afecção acometendo a escápula esquerda e, dois anos depois, a clavícula ipsilateral.


Gorham's disease is a rare osteolytic disorder of still controversial etiology that may affect any bone. The histopathological substrate for such a condition is the replacement of normal bone by aggressive non-neoplastic expansile vascular tissue. The authors describe radiographic, computed tomography and magnetic resonance imaging findings in a case of this entity initially affecting the left scapula and, two years later, the ipsilateral clavicle.


Subject(s)
Humans , Female , Adolescent , Adult , Rare Diseases/etiology , Osteolysis, Essential , Osteolysis, Essential/complications , Osteolysis, Essential/diagnosis , Clavicle , Clavicle/pathology , Magnetic Resonance Spectroscopy , Tomography, X-Ray Computed
9.
JKCD-Journal of Khyber College of Dentistry. 2010; 1 (1): 48-51
in English | IMEMR | ID: emr-146331

ABSTRACT

Cleidocranial dysplasia is an autosomal dominant disorder affecting the craniofacial region and clavicles along with other skeletal abnormalities. The Dental surgeon, is usually the first professional whom patients look for to solve the problem, since there is a delay in the eruption or an absence of permanent teeth. This peculiar case has been reported along with literature review to focus on the unusual findings so that the dental professionals become familiar with such features on confronting subjects with Cleidocranial Dysplasia


Subject(s)
Humans , Male , Clavicle/pathology , Review Literature as Topic , Tooth, Impacted
10.
Rev. AMRIGS ; 53(4): 410-412, out.-dez. 2009. ilus
Article in Portuguese | LILACS | ID: lil-566946

ABSTRACT

A pseudoartrose congênita da clavícula é uma doença rara de etiologia desconhecida. Trata-se de uma patologia não familiar, em geral unilateral, com alta predominância pelo lado direito e pelo sexo masculino. Foi descrita inicialmente por Fitzwillians em 1910. Existem até o momento aproximadamente 200 relatos de caso na literatura. O diagnóstico diferencial inclui a pseudoartrose pós-traumática (tocotraumatismo), a disostose cleidocranial, a osteogênese imperfeita e a neurofibromatose. Os autores apresentam um paciente, masculino, de 28 dias de vida, com uma massa indolor situada no terço médio da clavícula direita.


Congenital pseudartrosis of the clavicle is a rare disease of unknown etiology. It is a non-familial disorder which is usually unilateral, with a high prevalence for the right side and males. It was first reported by Fitzwillians in 1910. There are up to now about 200 case reports in the literature. The differential diagnosis includes post-traumatic pseudartrosis (birth trauma), cleidocranial disostosis, imperfect osteogenesis, and neurofibromatosis. The authors report the case of a 28-day old male patient with a painless mass at the medium third of the right clavicle.


Subject(s)
Humans , Male , Adult , Pseudarthrosis , Clavicle/abnormalities , Clavicle/surgery , Clavicle/pathology , Diagnosis, Differential
12.
Tunisie Medicale [La]. 2008; 86 (10): 921-923
in French | IMEMR | ID: emr-119748

ABSTRACT

Report a new case of primary Synovi alosarcoma. We report a case of a 16 year old girl, who presented with a tumefaction on the right clavicle evolving or 3 months. Various explorations carried out, in particular thoracic scanner and imagery by magnetic resonance, showed a multilocular cystic formation of the seat and the clavicle reaching the mediastinum. A pathological examination of the part [piece] highlighted a biphasic synovialosarcoma of grade III. This diagnosis was validated by the immunohistochemistry study and the detection of transcribed specific fusion of the synovialosarcoma, SYT-SSXI. The unusual locations of the primitive SS must be known because the diversity of their microscopic aspects may cause confusion in the diagnosis. The immunohistochemistry, and more recently the cytogenetic studies, helps to solve these problems of differential diagnosis


Subject(s)
Humans , Female , Sarcoma, Synovial/pathology , Clavicle/pathology , Bone Neoplasms , Immunohistochemistry , Molecular Biology , Neck
13.
14.
Pan Arab Journal of Orthopaedic and Trauma [The]. 2005; 9 (2): 239-242
in English | IMEMR | ID: emr-74299

ABSTRACT

Congenital pseudarthrosis of the clavicle is a rare entity, a little more than one hundred cases have been reported in the English literature [1, 2, 3]. This article describe a 7 year-old boy presented with a painless lump in the right clavicular region. Clinical, radiological and histological studies proved to be congenital pseudarthrosis of the clavicle. A well- developed right cervical rib was observed. The case was treated by excision of the pseudarthrosis, a free fibular graft and fixation with a controured 1/3 tubular. AO plate. Solid union was achieved at 5 months postoperatively. Histological examination of the excised ends of the pseudarthrosis showed enchondral ossWcation which supports the hyposthesis that the pseudarthrosis resultsfromfailedfusion of two ossification centers. The final result was satisfactory from the functional and cosmetic points of view after five years of follow-up and there were no signs of complications


Subject(s)
Humans , Male , Clavicle/diagnostic imaging , Bone Transplantation , Fibula , Postoperative Complications , Follow-Up Studies , Treatment Outcome , Pseudarthrosis/surgery , Clavicle/pathology , Clavicle/abnormalities
15.
Thesis in French | AIM | ID: biblio-1277413

ABSTRACT

Nous avons rapporte les resultats d'une etude de 60 cas de fractures de la clavicule chez l'enfant (0 - 15 ans) dans le service de chirurgie orthopedique et traumatologique de l'Hopital Gabriel TOURE de Bamako sur une periode de 9 mois. Les garcons sont plus touches que les filles. Les accidents de la voie publique constituent l'etiologie la plus frequente. Les fractures tiers moyen de la clavicule sont les plus retrouvees. Le traitement orthopedique a donne de tres bons resultats. Aucun traitement chirurgical n'a ete effectue


Subject(s)
Clavicle/injuries , Clavicle/pathology , Fractures, Bone
18.
Acta oncol. bras ; 12(2): 82-84, ago. 1992. ilus
Article in Portuguese | LILACS | ID: lil-247731

ABSTRACT

O diagnóstico de tumores ósseos deve ser realizado baseado na correlação dos dados clínicos, radiológicos e anatomopatológicos. Antes do tratamento, é freqüentemente necessário um diagnóstico morfológico. A citologia pode ajudar a estabelecer um diagnóstico presuntivo antes da cirurgia. É um método tecnicamente simples e rápido, que fornece valiosas informações suplementares aos dados clínico-radiológicos. Esse trabalho relata um caso de cisto ósseo aneurismático diagnosticado por punção aspirativa por agulha fina. As vantagens e limitações do método são discutidas.


Subject(s)
Humans , Female , Child , Biopsy, Needle/methods , Bone Cysts, Aneurysmal/diagnosis , Bone Cysts, Aneurysmal/pathology , Clavicle/pathology , Punctures , Cytological Techniques
19.
Rev. argent. cir ; 62(5): 140-5, mayo 1992. ilus
Article in Spanish | LILACS | ID: lil-109335

ABSTRACT

La clavícula cumple cinco funciones: 1) actuar como puntal; 2) sostener las inserciones musculares y ligamentos; 3) proteger el paquete vasculo-nervioso; 4) transmitir la fuerza de sostén del trapecio y 5) contribuir al aspecto estético del cuello. A pesar de ello, es posible efectuar la cleidectomía total sin alterar la función del hombro si se realiza una buena reparación de los dos grupos musculares que en ella se insertan, trapecio con deltoides y esternocleidomastoideo con pectoral mayor. Las secuelas que dejan son mínimas. Los estudios realizados muestran una buena función del hombro, quedando sólo una leve debilidad en la abducción y la flexión. Se describe la técnica quirúrgica


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Clavicle/surgery , Clavicle/physiology , Clavicle/pathology , Prognosis , Shoulder/physiology , Shoulder/surgery , Cervical Rib Syndrome/complications , Surgical Procedures, Operative/standards
20.
Radiol. bras ; 23(3): 177-82, jul.-set. 1990. ilus
Article in Portuguese | LILACS | ID: lil-97266

ABSTRACT

Hemangiopericitomas säo tumores derivados dos pericitos - células presentes nas paredes dos capilares normais - e podem acometer todo o organismo. Quando intracranianos, provêm das meninges e säo considerados raros nessa localizaçäo. Apesar de alguns autores ainda o considerarem variante angioblástica do nemingeoma, o consenso da literatura, baseada em estudos imuno-histoquímicos e ultra-estruturais, é de que se trata de entidade distinta. Pela raridade em nosso meio é apresentado um caso de hemangiopericitoma clavicular com metástase craniana, e discutem-se os aspectos neuro-radiológicos e histopatológicos, relacionados à literatura mundial. Em nossa opiniäo, o hemangiopericitoma é uma entidade distinta. O estudo angiográfico mostrou-se mais útil que o estudo por tomografia computadorizada, permitindo o diagnóstico pré-operatório e auxiliando no planejamento cirúrgico. A ressecçäo desses tumores, invasivos e com alta taxa de metastatizaçäo e reincidência, deve ser total, näo havendo ainda consenso sobre o valor da complementaçäo radioterápica


Subject(s)
Humans , Male , Middle Aged , Angiography , Hemangiopericytoma/analysis , Neoplasm Metastasis/analysis , Brazil , Clavicle/pathology , Tomography, X-Ray Computed
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