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Nontraumatic disorders of the clavicle

Rodney K Beals1, Donald D Sauser

  • 1Department of Orthopaedics and Rehabilitation, Oregon Health Sciences University, Portland, OR 97239, USA.

The Journal of the American Academy of Orthopaedic Surgeons
|April 6, 2006
PubMed

Insights

Disorders of the clavicle, excluding trauma and arthritis, are rare and diverse. This review clarifies these uncommon conditions, aiding diagnosis and management.

Area of Science:

  • Orthopedics
  • Rheumatology
  • Pediatrics

Background:

  • Disorders of the clavicle are uncommon, with many conditions specific to infancy and childhood.
  • Nontraumatic clavicular disorders present a diagnostic challenge due to varied nomenclature across medical disciplines.

Purpose of the Study:

  • To review and clarify uncommon nontraumatic disorders of the clavicle.
  • To provide a framework for understanding and managing these diverse conditions.

Main Methods:

  • Literature review of nontraumatic clavicular disorders.
  • Categorization of conditions by age of onset (infancy/childhood vs. adult).
  • Discussion of diagnostic challenges and potential classifications.

Main Results:

  • Identified numerous nontraumatic clavicular disorders, including infantile cortical hyperostosis, cleidocranial dysplasia, sternoclavicular joint disorders, and osteomyelitis.
  • Highlighted the overlap and confusion in nomenclature, particularly for nonsuppurative inflammatory conditions.
  • Emphasized the need for clearer diagnostic criteria and potential consolidation of entities like spondyloarthropathies.

Conclusions:

  • Nontraumatic clavicular disorders require careful differentiation, with some conditions necessitating a unified approach.
  • Management strategies are disorder-specific, ranging from conservative care to surgical intervention.

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