Non-union of the Clavicle Osteotomy Site in an Infant with Birth Brachial Plexus Palsy

J Hand Surg Asian Pac Vol. 2022 Dec;27(6):1038-1042. doi: 10.1142/S2424835522720511.

Abstract

Non-union of the clavicle in the paediatric population is extremely rare. Some anecdotal case reports show non-union following clavicle fracture. However, we could not find any report of non-union following osteotomy for brachial plexus surgery. We report non-union of clavicle following its osteotomy for brachial plexus exploration surgery in a 6-month child. We present successful management of the clavicle non-union in this patient and propose preventive steps. Level of Evidence: Level V (Therapeutic).

Keywords: Brachial plexus palsy; Brachial plexus surgery; Clavicle; Clavicle osteotomy; Non-union.

MeSH terms

  • Brachial Plexus Neuropathies* / etiology
  • Brachial Plexus Neuropathies* / surgery
  • Brachial Plexus* / surgery
  • Child
  • Clavicle / diagnostic imaging
  • Clavicle / surgery
  • Humans
  • Infant
  • Osteotomy / adverse effects
  • Paralysis