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Images in paediatrics
A rare clavicular lump in a baby: congenital pseudarthrosis
  1. Andrea Gritz1,
  2. Nick Owen2,
  3. Elinor Sefi1
  1. 1 Department of Paediatrics, The Whittington Hospital, London, UK
  2. 2 Department of Radiology, The Whittington Hospital, London, UK
  1. Correspondence to Dr Andrea Gritz, Paediatric Critical Care Unit, The Royal London Hospital, Whitechapel Road, London, E1 1BB; andrea.gritz{at}

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A 15-day-old baby presented to the accident and emergency department after her mother noticed a lump over the right clavicle. She was born at term, birth weight 3.5 kg, by uncomplicated caesarean section and had reportedly been moving both arms freely since birth.

Examination revealed a non-tender, 1×1 cm protuberance over the right mid-clavicle. Suspecting a fracture, an X-ray was taken, which identified a bony defect without any evidence of callus …

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  • Contributors AG wrote the manuscript. NO made the radiological diagnosis and optimised the image for this article. ES was involved in management of the patient and obtained parental consent. All three authors approved the final version of the manuscript.

  • Competing interests None declared.

  • Patient consent Parental/guardian consent obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.