Skip to main content

Advertisement

Log in

Congenital pseudoarthrosis associated with venous malformation

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

Congenital pseudoarthrosis is a pathologic entity that may be isolated, or may be associated with neurofibromatosis. We report the case of a 3-year-old female with congenital pseudoarthrosis involving the right tibia and fibula. Magnetic resonance imaging (MRI) and complementary magnetic resonance angiogram (MRA) revealed a lobulated mass with vivid enhancement, which led to the diagnosis of venous malformation. This is the first report of congenital pseudoarthrosis caused by the presence of a vascular malformation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5

Similar content being viewed by others

References

  1. Morrissy TR. Lovell and Winter’s Pediatric Orthopedics. 3rd ed. Philadelphia: Lippincott 1990;192–5.

    Google Scholar 

  2. Doi K, Kawai S, Shigetomi M. Congenital Tibial pseudoarthrosis treated with vascularised bone graft. Lancet 1996;347:970–1.

    Article  CAS  Google Scholar 

  3. Ostrowski MD, Eilert ER, Waldstein G. Congenital pseudoarthrosis of the ulna: a report of two cases and a review of the literature. J Pediat Orthop 1985;5:463–7.

    Article  CAS  Google Scholar 

  4. Younis AT. Congenital pseudoarthrosis of the radius. Clin Orthop 1993;291:246–50.

    Google Scholar 

  5. Al-Hathal M, Al-Tawil K, Abdul Ghaffar T, AlMohrij S, Gasudraz A, AlSumman A. Primary Congenital Pseudoarthrosis of the Femur. Annals of Saudi Medicine 2000;20:3–4.

    Article  Google Scholar 

  6. Gomez-Brouchet A, Sales de Gauzy J, Accadbled F, Abid A, Delisle MB, Cahuzac JP. Congenital pseudoarthrosis of the clavicle: a histological study in five patients. J Pediatr Orthop B 2004;13(6):399–401.

    Article  Google Scholar 

  7. Levin SM, Lambiase RE, Petchpara CN. Cortical lesions of the tibia: characteristic appearances at conventional radiography. Radiographics. 2003;23:157–77.

    Article  Google Scholar 

  8. DeBella K, Szudek J, Friedman JM. Use of the national institutes of health criteria for diagnosis of neurofibromatosis 1 in children. Pediatrics 2000;105:608–14.

    Article  CAS  Google Scholar 

  9. Greenspan A, Chapman M. Orthopedic Radiology. 3rd ed Philadelphia: Lippincott 2000;64–6.

    Google Scholar 

  10. Boulanger JM, Larbisseau A. Neurofibromatosis type 1 in a pediatric population: Ste-Justine s experience. Can J Neurol Sci 2005;32:225–31.

    Article  CAS  Google Scholar 

  11. Stevenson DA, Brich PH, Friedman JM, Viskochil DH, Balestrazzi P, Boni S, et al. Descriptive analysis of tibial pseudoarthrosis in patients with neurofibromatosis 1. Am J Med Genet 1999;84:413–9.

    Article  CAS  Google Scholar 

  12. Kaur S, Thami GP, Kanwar AJ. Pseudoarthrosis in neurofibromatosis type-1. Postgrad Med 2001;77:660.

    Article  CAS  Google Scholar 

  13. Hefti F, Bollini G, Dungl P, Fixen J, Grill F, Ippolito E, et al. Congenital pseudoarthrosis of the tibia: history, etiology,classification, and epidemiologic data. J Pediatr Orthop B 2000;9:11–5.

    Article  CAS  Google Scholar 

  14. Delgado-Martinez AD, Rodriguez-Merchan EC, Olsen B. Congenital pseudoarthrosis of the tibia. Int Orthop 1996;20:192–9.

    Article  CAS  Google Scholar 

  15. Sofield HA. Congenital pseudoarthrosis of the tibia. Clin Orthop 1971;76:33–9.

    Article  CAS  Google Scholar 

  16. Grogan DP, Love SM, Ogden JA. Congenital malformations of the lower extremities. Orthop Clin North Am 1987;18:537–54.

    CAS  PubMed  Google Scholar 

  17. Tachdjian MO. Pediatric Orthopedics. W B Saunders, Philadelphia, 1990.

    Google Scholar 

  18. Murray HH, Lovell WW. Congenital pseudoarthrosis of the tibia, a long-term follow-up study. Clin Orthop 1982;166:14–20.

    Google Scholar 

  19. Keret D, Bollini G, Dungl P. The fibula in congenital pseudoarthrosis of the tibia: the EPOS multicenter study. European Paediatric Orthopaedic Society (EPOS). J Pediatr Orthop B 2000;9(2):69–74.

    Article  CAS  Google Scholar 

  20. Meyer JS, Hoffer FA, Barnes PD, Mulliken JB. Biological classification of soft-tissue vascular anomalies: MR correlation. AJR Am J Roentgenol 1991;157:559–64.

    Article  CAS  Google Scholar 

  21. Vilanova JC, Barcelo J, Smirniotopoulos JG, Perez-Andres R, Villalon M, Miro J, et al. Hemangioma from head to toe: MR imaging with pathologic correlation. Radiographics 2004;24:367–75.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A. Al-Hadidy.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Al-Hadidy, A., Haroun, A., Al-Ryalat, N. et al. Congenital pseudoarthrosis associated with venous malformation. Skeletal Radiol 36 (Suppl 1), 15–18 (2007). https://doi.org/10.1007/s00256-006-0175-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-006-0175-4

Keywords

Navigation