Thoracic Outlet Syndrome Secondary to Vascular Insufficiency from Congenital Pseudarthrosis of the Clavicle: A Case Report

Alexander A Hysong; Sahitya K Denduluri; Frank R Arko 3rd; Peter M Waters; Bryan J Loeffler

doi:10.2106/JBJS.CC.22.00426

Thoracic Outlet Syndrome Secondary to Vascular Insufficiency from Congenital Pseudarthrosis of the Clavicle: A Case Report

JBJS Case Connect. 2023 Jun 6;13(2). doi: 10.2106/JBJS.CC.22.00426. eCollection 2023 Apr 1.

Authors

Alexander A Hysong¹, Sahitya K Denduluri², Frank R Arko 3rd³, Peter M Waters^{1

2}, Bryan J Loeffler^{1

2}

Affiliations

¹ Atrium Health Musculoskeletal Institute, Charlotte, North Carolina.
² OrthoCarolina Hand Center, Charlotte, North Carolina.
³ Atrium Health Sanger Heart and Vascular Institute, Charlotte, North Carolina.

PMID: 37279298
DOI: 10.2106/JBJS.CC.22.00426

Abstract

Case: An 18-year-old woman with a history of congenital pseudarthrosis of the clavicle (CPC) presented with episodes of right upper extremity ischemia. Vascular studies demonstrated an extensive thrombus with complete occlusion of the brachial artery. She underwent urgent thrombectomy. Subsequently, she underwent first rib resection and scalenectomy as well as pseudarthrosis takedown and fixation. Postoperatively, she returned to Division I collegiate soccer with complete symptomatic resolution.

Conclusion: We report a case of arterial thoracic outlet syndrome secondary to CPC.

Publication types

Case Reports

MeSH terms

Adolescent
Clavicle / surgery
Female
Humans
Pseudarthrosis* / complications
Pseudarthrosis* / congenital
Pseudarthrosis* / diagnostic imaging
Pseudarthrosis* / surgery
Thoracic Outlet Syndrome* / complications
Thoracic Outlet Syndrome* / diagnostic imaging
Thrombosis* / complications

Supplementary concepts

Congenital pseudoarthrosis