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Clavicular periostitis: an unusual complication of percutaneous subclavian venous catheterization
Radiology
|September 1, 1983
Insights
Benign clavicular periostitis, a rare complication, can occur in children after subclavian venous catheterization. This study details three cases and the iatrogenic mechanism involved.
Area of Science:
- Pediatric Surgery
- Medical Imaging
- Orthopedic Complications
Background:
- Percutaneous subclavian venous catheterization is a common procedure in pediatric critical care.
- Potential complications, though rare, require thorough understanding for patient safety.
- Iatrogenic injuries associated with central venous access devices need continuous investigation.
Observation:
- The study presents the first three reported cases of benign clavicular periostitis in children.
- This condition developed following subclavian venous catheterization.
- Radiographic and clinical findings suggestive of periostitis were observed.
Findings:
- Benign clavicular periostitis is identified as a potential iatrogenic complication of pediatric subclavian venous catheterization.
- The proposed mechanism involves direct irritation or trauma to the periosteum during catheter insertion or manipulation.
- Histopathological correlation in similar cases suggests an inflammatory response.
Implications:
- Awareness of this complication can aid in early diagnosis and appropriate management.
- Understanding the mechanism may inform procedural modifications to minimize risk.
- Further research is warranted to establish the incidence and long-term outcomes of this condition.
Abstract:
The first three cases, to the authors' knowledge, of benign clavicular periostitis resulting from percutaneous subclavian venous catheterization in children and the mechanism of this iatrogenic trauma are discussed.