Pseudoarthrosis of the Distal Humerus in Pediatric Osteogenesis Imperfecta Patients: A Case Series and Literature Review.
| Autor: | Laor B; Orthopedic Surgery, Shriners Hospitals for Children, Montreal, CAN., Addab S; Orthopedic Surgery, Shriners Hospitals for Children, Montreal, CAN., Janelle C; Orthopedic Surgery, Shriners Hospitals for Children, Montreal, CAN., Hamdy RC; Orthopedic Surgery, Shriners Hospitals for Children, Montreal, CAN. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Apr 25; Vol. 16 (4), pp. e58991. Date of Electronic Publication: 2024 Apr 25 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.58991 |
| Abstrakt: | Osteogenesis imperfecta (OI) is a rare skeletal disorder that increases a patient's susceptibility to bone fracture. One complication commonly associated with fractures in this population is the occurrence of non-union leading to pseudoarthrosis. In this case series, three cases of non-union of the distal humerus leading to pseudoarthrosis in the pediatric OI population are presented. One case presents a successful attempt at treatment, one case presents a failed attempt at treatment, and the third case presents a patient's refusal to get treated. Furthermore, a literature review highlighting other institutions' attempts, successes, and failures at treating this clinical entity is presented. Combining the data retrieved from our institution and others, this review demonstrates that there is currently no standard for treating these patients. Additionally, based on the small case series and literature review presented in this article, definitive guidelines for the treatment of pseudoarthrosis of the distal humerus in pediatric OI patients cannot be outlined. However, our findings suggest that both non-surgical and surgical treatments could be viable options for patients with asymptomatic pseudoarthrosis of the distal humerus. Competing Interests: Dr. Reggie Hamdy is Chairman of the Limb Reconstruction Subcommittee, SICOT Societe Internationale Chirurgie Orthopaedique et Traumatologie. (Copyright © 2024, Laor et al.) |
| Databáze: | MEDLINE |
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