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Congenital forward shoulder with clavicle hypoplasia: surgical lengthening by intercalary graft positioning and plate fixation

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Abstract

Background

Congenital forward shoulder with clavicular hypoplasia is a rare disease which can be caused by an alteration of clavicular development in such a way that the clavicles are short. Symptoms are often absent; in most cases the main problem is represented by the cosmetic implications. There is no general consensus about the correct management, and surgery is the only way to correct the deformity.

Materials and methods

The aim of the study is to describe a new surgical treatment in patients with congenital forward shoulder and clavicular hypoplasia. In 2010, three patients suffering from bilateral congenital forward shoulder were managed surgically by a intercalary graft positioning with plate fixation aimed at the elongation of the clavicles.

Results

Patients were followed by up to 2 years. All the patients treated were satisfied with the results, regarding the resolution of mild pain, but especially from the cosmetic point of view.

Conclusion

The intercalary graft positioning was found to be easy to perform and allowed an elongation of the clavicles with immediate stability.

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References

  1. Beals RK, Sauser DD (2006) Nontraumatic disorders of the clavicle. J Am Acad Orthop Surg 14(4):205–214

    Article  PubMed  Google Scholar 

  2. Guidera KJ, Grogan DP, Pugh L, Ogeden JA (1991) Hypoplastic clavicles and lateral scapular redirection. J Pediatr Orthop 11:523–526

    Article  CAS  PubMed  Google Scholar 

  3. Beals RK (2000) The short clavicle syndrome. J Pediatr Orthop 20:389–391

    CAS  PubMed  Google Scholar 

  4. Milgram JE (1942) Congenital shoulders forward (quadrupedal type): treatment by clavicular osteotomy. Bull Hosp Joint Dis 3:93–96

    Google Scholar 

  5. Constant CR, Murley AH (1987) A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res 214:160–164

    Google Scholar 

  6. Smith MV, Calfee RP, Baumgarten KM, Brophy RH, Wright RW (2012) Upper extremity-specific measures of disability and outcomes in orthopaedic surgery. J Bone Joint Surg Am 94(3):277–285. doi:10.2106/JBJS.J.01744

    Article  PubMed  PubMed Central  Google Scholar 

  7. Amstutz HC, Sew Hoy AL, Clarke IC (1981) UCLA anatomic total shoulder arthroplasty. Clin Orthop Relat Res 155:7–20

    Google Scholar 

  8. Michener LA, McClure PW, Sennett BJ (2002) American shoulder and elbow surgeons standardized shoulder assessment form, patient self-report section: reliability, validity, and responsiveness. J Shoulder Elbow Surg 11(6):587–594

    Article  PubMed  Google Scholar 

  9. Padua R, Padua L, Ceccarelli E, Bondi R, Alviti F, Castagna A (2010) Italian version of ASES questionnaire for shoulder assessment: cross-cultural adaptation and validation. Musculoskelet Surg 94(Suppl 1):S85–S90

    Article  PubMed  Google Scholar 

  10. Taybi H, Lachman RS (1990) Radiology of syndromes, metabolic disorders, and skeletal dysplasias, 3rd edn. Year Book Medical Publishers, Chicago, p 358

    Google Scholar 

  11. Salter RD, Kay GD (1976) Congenital fixation of the scapula forward. J Bone Joint Surg Br 58:132–133

    Article  Google Scholar 

Download references

Acknowledgements

The authors acknowledge Dott. Alberto Di Martino for his contribution to the manuscript.

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Authors and Affiliations

  1. Rizzoli Orthopaedic Institute, University of Bologna, Via G.C. Pupilli 1, 40136, Bologna, Italy

    S. Giannini

  2. II Clinic of Orthopaedics and Traumatology, Rizzoli Orthopaedic Institute, University of Bologna, Via G.C. Pupilli 1, 40136, Bologna, Italy

    C. Pungetti, A. Mazzotti, F. Traina & C. Faldini

Authors
  1. S. Giannini
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  2. C. Pungetti
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  3. A. Mazzotti
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  4. F. Traina
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  5. C. Faldini
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Corresponding author

Correspondence to C. Pungetti.

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Each author certifies that he/she has no commercial associations that might pose a conflict of interest in connection with the submitted article.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Giannini, S., Pungetti, C., Mazzotti, A. et al. Congenital forward shoulder with clavicle hypoplasia: surgical lengthening by intercalary graft positioning and plate fixation. Musculoskelet Surg 100, 207–211 (2016). https://doi.org/10.1007/s12306-016-0439-7

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  • DOI: https://doi.org/10.1007/s12306-016-0439-7

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