Pseudoarthrosis (differential)
Congenital
pseudoarthrosis of the tibia • Tibial pseudoarthrosis - neurofibromatosis type 1 - Ganzer Fall bei Radiopaedia
Pseudoarthrosis
(differential) • Fibular pseudoarthrosis - Ganzer Fall bei Radiopaedia
Pseudoarthrosis
(differential) • Congenital pseudoarthrosis of the clavicles - Ganzer Fall bei Radiopaedia
Pseudoarthrosis
(differential) • Neglected bilateral developmental hip dysplasia - Ganzer Fall bei Radiopaedia
A pseudoarthrosis (or pseudarthrosis/ false joint) is a mobile fracture nonunion.
Pathology
A fibrous, pseudosynovial capsule forms around the nonunion and viscous fluid fills the site that may simulate synovial fluid.
Differential diagnosis
- fracture non-union
- failed bone graft
- neurofibromatosis type 1
- Ehlers-Danlos syndrome
- osteogenesis imperfecta
- fibrous dysplasia
- congenital pseudoarthrosis
- ochronosis (alkaptonuria)
- ankylosing spondylitis (post-trauma)
- diffuse idiopathic skeletal hyperostosis (post-trauma)
- developmental dysplasia of the hip
- Bertolotti syndrome: association of transitional lumbosacral junction due to pseudarthrosis formation
Common post-traumatic locations include:
- scaphoid waist
- humeral shaft
- clavicular shaft
- distal tibial shaft
- talar neck