1/11. Chronic recurrent multifocal osteomyelitis associated with chronic inflammatory bowel disease in children.Chronic recurrent multifocal osteomyelitis (CRMO) is a rare disease of children characterized by aseptic inflammation of the long bones and clavicles. No infectious etiology has been identified, and CRMO has been associated with a number of autoimmune diseases (including Wegener's granulomatosis and psoriasis). The relationship between CRMO and inflammatory bowel disease is poorly described. Through an internet bulletin board subscribed to by 500 pediatric gastroenterologists, we identified six inflammatory bowel disease patients (two with ulcerative colitis, four with Crohn's colitis) with confirmed CRMO. In all cases, onset of the bony lesions preceded the onset of bowel symptoms by as much as five years. Immunosuppressive therapy for the bowel disease generally resulted in improvement of the bone inflammation. Chronic recurrent multifocal osteomyelitis should be considered in any inflammatory bowel disease patient with unexplained bone pain or areas of uptake on bone scan. CRMO may be a rare extraintestinal manifestation of inflammatory bowel disease; alternatively, certain individuals may be genetically predisposed to the development of both diseases.- - - - - - - - - - ranking = 1keywords = clavicle (Clic here for more details about this article) |
2/11. Distal clavicle osteolysis unrelated to trauma, overuse, or metabolic disease.osteolysis of the distal clavicle has been reported to occur from traumatic, atraumatic (overuse), or systemic causes. Three patients with bilateral osteolysis of the distal clavicles whose osteolysis did not fit these etiologic categories were evaluated. Clinical, imaging, and laboratory evaluations were nonspecific, and histologic sections of the distal clavicle showed evidence of chronic inflammation with reactive change of the articular surface. patients either had complete resolution or marked improvement of their symptoms after bilateral distal clavicle resection at mean followup of 5 years 3 months. These cases of osteolysis of the distal clavicle represent a category of this disorder not previously described.- - - - - - - - - - ranking = 9keywords = clavicle (Clic here for more details about this article) |
3/11. 'Cable-maker's clavicle': stress fracture of the medial clavicle.A 50-year-old man presented with a non-traumatic painful swelling over the medial clavicle. Radiographs showed a poorly defined fracture and the possibility of an underlying pathology was raised. Computed tomography suggested a stress fracture. This prompted a further, more detailed occupational history to be obtained from the patient, which revealed a hitherto undescribed cause of clavicular stress fracture and obviated the need for further imaging or biopsy.- - - - - - - - - - ranking = 9keywords = clavicle (Clic here for more details about this article) |
4/11. thoracic outlet syndrome caused by chronic retrosternal dislocation of the clavicle. Successful treatment by transaxillary resection of the first rib.Traumatic posterior dislocation of the sternoclavicular joint is an unusual injury. We report a rare, late complication in the form of a thoracic outlet syndrome. Resection of the first rib resulted in prompt and complete resolution of the symptoms and would appear to be the appropriate treatment, avoiding the complications associated with resection of the clavicle.- - - - - - - - - - ranking = 5keywords = clavicle (Clic here for more details about this article) |
5/11. Chronic osteomyelitis of clavicle as primary manifestation of SAPHO syndrome in adolescents: report of four cases and long-term evolution.Four cases of chronic osteomyelitis of clavicle as primary manifestation of synovitis, acne, pustulosis, hyperostosis, osteomyelitis (SAPHO) are reported in adolescents. In all cases a typical radiographical evolution had been observed with progressive slow migration of sclerotic area from medial to lateral side of clavicle. Long-term evolution was alternation of remission and exacerbation but none of the patients healed.- - - - - - - - - - ranking = 6keywords = clavicle (Clic here for more details about this article) |
6/11. Chronic osteomyelitis of the clavicle.osteomyelitis of the clavicle is an uncommon disease, but it should be considered in patients who present with pain, cellulitis, or drainage in the sternoclavicular area following head and neck surgery, irradiation, subclavian vein catheterization, or immunosuppression. An idiopathic presentation is possible. In contrast to primary osteomyelitis of the clavicle, which is occasionally seen in children, secondary osteomyelitis is quite rare. It is often mistaken for a fracture or a possible neoplasm on plain x-rays. Tomograms and CT scanning are confirmatory, and in early cases, technetium-99m bone scanning can be helpful. Treatment must include early, aggressive surgical debridement of all affected tissues, followed by wound coverage with a well-vascularized flap and perioperative antibiotics.- - - - - - - - - - ranking = 6keywords = clavicle (Clic here for more details about this article) |
7/11. Pustulotic arthroosteitis and chronic recurrent multifocal osteomyelitis in children. Report of three cases.We describe 3 children with pustulosis palmaris et plantaris associated with chronic recurrent (multifocal) osteomyelitis, located in the clavicle in 2 patients, and in the distal fibula as well as in several metatarsals in the third. The first 2 children also developed inflammatory sacroiliitis, one with chronic peripheral polyarthritis. These 3 cases represent the arthrosteitis and chronic recurrent multifocal osteomyelitis syndrome associated with palmoplantar pustulosis.- - - - - - - - - - ranking = 1keywords = clavicle (Clic here for more details about this article) |
8/11. Chronic sclerosing osteomyelitis. An unusual case.An unusual case of bilateral chronic sclerosing osteomyelitis of the clavicles is reported. A culture of resistant staphylococcus aureus was obtained. curettage of the lesions resulted in healing and symptomatic relief. There has been no recurrence on follow-up at one year.- - - - - - - - - - ranking = 1keywords = clavicle (Clic here for more details about this article) |
9/11. Chronic recurrent multifocal osteomyelitis after acute lymphoblastic leukaemia.We describe an 8 year old girl who developed chronic recurrent multifocal osteomyelitis (CRMO) in the ilium and clavicle. Treatment for an acute lymphoblastic leukaemia had been finished two months before. After antibiotic therapy, the clinical symptoms improved and no fresh lesions appeared. The aetiology of CRMO is unknown, but we feel that infection may precipitate an immunological reaction.- - - - - - - - - - ranking = 1keywords = clavicle (Clic here for more details about this article) |
10/11. Compression brachial plexopathy caused by chronic posterior dislocation of the sternoclavicular joint.thoracic outlet syndrome developed in a patient due to chronic posterior dislocation of the sternoclavicular joint, following an all-terrain vehicle accident. decompression of the thoracic outlet was accomplished by surgical reduction of the clavicle, excision of the medial clavicle and reconstruction of the costoclavicular ligament. The patient's symptomatology was relieved by the surgical procedure performed.- - - - - - - - - - ranking = 2keywords = clavicle (Clic here for more details about this article) |
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