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[Chronic osteomyelitis of the clavicle]
H G Dietz1, R Roos, K Schneider
1Kinderchirurgische Klinik, Dr. von Haunerschen Kinderspital der Universität München.
Insights
This study details six pediatric cases of chronic osteomyelitis of the clavicle treated between 1978 and 1987. Most patients recovered well with surgery and antibiotics, though some experienced recurrences.
Area of Science:
- Orthopedics
- Pediatric Infectious Diseases
- Skeletal Infections
Context:
- Osteomyelitis, a bone infection, can affect children.
- Clavicle osteomyelitis is rare in pediatric populations.
- This study reviews a specific cohort of children with this condition.
Purpose:
- To describe the presentation, treatment, and outcomes of pediatric clavicle osteomyelitis.
- To evaluate the efficacy of surgical and antibiotic interventions.
- To identify factors influencing recurrence in chronic cases.
Summary:
- Six pediatric patients with primary chronic osteomyelitis of the clavicle were treated between 1978-1987.
- Treatments included immobilization (DESAULT-cast/abduction splint), clindamycin antibiotics, and surgery (curettage/resection).
- Four patients achieved successful outcomes, while two experienced recurrences requiring ongoing treatment.
Impact:
- Highlights the challenges in managing pediatric clavicle osteomyelitis.
- Provides insights into long-term outcomes and recurrence patterns.
- Informs clinical decision-making for similar rare skeletal infections in children.
Abstract:
From 1978 to 1987, 139 children were treated for osteomyelitis at our institution, among them 6 with osteomyelitis of the clavicle. All six patients presented with a primary chronic osteomyelitis. Three children sustained a trauma anamnestically. Pathohistological examinations revealed a chronic, unspecific inflammation in all cases. Immobilisation was achieved by means of a DESAULT-cast or an abduction splint for 7 to 36 weeks, antibiotics (clindamycin) were given for 6 to 55 weeks, starting with intravenous administration for 1 weeks maximally. All patients were primarily operated on, mostly undergoing curettage of affected regions or partial resection. After 4 to 10 years, 4 children are well and without evidence of recurrence, 2 children are still under treatment for recurrences.