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Congenital pseudarthrosis of the clavicle causing thoracic outlet syndrome.
[thoracic outlet syndrome]
A
7
-
year
-old
girl
presented
with
an
asymptomatic
right
supraclavicular
swelling
.
Radiographs
were
interpreted
as
showing
a
non-union
of
her
clavicle
.
No
treatment
was
given
at
this
time
.
However
,
she
represented
12
years
later
with
right
upper
limb
pain
and
altered
sensation
.
Examination
revealed
a
positive
Allen
's
test
on
the
right
.
Repeat
radiographs
demonstrated
a
pseudarthrosis
of
the
clavicle
,
associated
with
a
secondary
complication
of
thoracic
outlet
syndrome
with
vascular
and
neurological
complications
present
.
Non-operative
management
failed
to
relieve
her
symptoms
.
Operative
intervention
successfully
treated
her
symptoms
.