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Complete Clavicular Resorption after Clavicular osteomyelitis with no functional deficit at 13-year follow-up: A Case
Sumedh D Chaudhary1, Karan R Lakhani1, Abhinav Jogani1
1Department of Orthopaedics, Government Medical College and Hospital, Nagpur, Maharashtra, India.
Insights
Clavicular osteomyelitis in infants, though rare, can lead to complete bone resorption after treatment. This case shows minimal functional deficit 13 years post-surgery, highlighting the body's resilience.
Area of Science:
- Pediatric infectious diseases
- Orthopedic surgery
- Bone biology
Background:
- Clavicular osteomyelitis is a rare pediatric infection, typically treated with debridement and antibiotics.
- Hematogenous spread is a common cause in children under 5.
- Potential complications include sepsis and mediastinitis.
Observation:
- A 9-month-old infant diagnosed with medial clavicular osteomyelitis.
- Treatment involved surgical debridement and intravenous antibiotics.
- The patient was monitored for 13 years post-procedure.
Findings:
- Complete clavicular resorption occurred following treatment.
- Despite the bone loss, no significant functional impairment was observed.
- The patient maintained full capacity for daily activities.
Implications:
- Complete clavicular resorption is a possible outcome of osteomyelitis treatment.
- Children can achieve excellent functional recovery even after significant bone loss.
- This case expands understanding of bone regeneration and functional adaptation in pediatric osteomyelitis.
Introduction:
Clavicular osteomyelitis, a rare infection in children under 5, often arises from hematogenous spread. Treatment generally involves debridement and intravenous antibiotics to avert complications such as sepsis and mediastinitis. This case reports the first instance of complete clavicular resorption following debridement. Remarkably, 13 years later, the patient exhibits minimal functional impairment and can perform all daily activities.
Case Report:
A 9-month-old infant presented to us with medial clavicular osteomyelitis which was cured by debridement and intravenous antibiotics. Follow-up was completed at 5 years and 13 years after the surgical procedure and complete clavicular resorption was noted with no noted functional deficit.
Conclusion:
Clavicular osteomyelitis is a rare presentation and in spite of eradication of infection there can be complete resorption of the bone. Despite complete clavicular resorption, no noted functional deficits were present.
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