Presentation
Enlarging bump over the right clavicle.
Patient Data
There is a superiorly angulated abnormality of the mid shaft of the right clavicle, with well sclerosed adjacent margins, most suggestive of congenital pseudoarthrosis of the clavicle.
There are two separate components of the right clavicle with smoothly outlined adjacent surfaces, most suggestive of congenital pseudoarthrosis of the clavicle.
Case Discussion
The second radiograph above was performed when the patient was 2 years old with a lump over the right clavicle, which the patient's parent reported as having been present since birth. Congenital pseudoarthrosis of the clavicle, is most common on the right as our case demonstrates.
A fracture of the clavicle in an infant may be suggestive of non accidental injury (inflicted injury). A careful clinical history and examination in this age group is therefore important.