Total cleidectomy for a solitary metastasis of the clavicle

The clavicle is a fairly common site of metastases of renal cell carcinoma. We report the cases of two patients with undiagnosed renal cell carcinoma who were first seen for shoulder pain secondary to a solitary clavicular metastasis. Wide resection was performed in both cases. Functional and cosmetic results were good, with no shoulder pain or neurovascular deficits. We suggest wide surgical resection of a solitary bony metastasis from renal cell carcinoma, associated with appropriate systemic treatment, because the survival may be increased.