Surgical Treatment and Short-Term Outcome for a Refractory Case of Medial Clavicle Osteitis Condensans A Case Report
Main Article Content
Abstract
Medial clavicle osteitis condensans presents as pain and swelling in the sternal end of the clavicle with increased bone density in the radiograph. In this case report, we present a 39-year-old woman with right medial clavicle osteitis condensans who underwent several diagnostic procedures with inconclusive findings. Despite various interventions, including IV antibiotics, steroid injections, and IV pain medications, relief was only temporary. Abnormal bone marrow signals involving the sternal end of the right clavicle on further imaging, together with non-response to treatment, prompted surgical intervention. Medial clavicle and first rib resection were performed resulting in significant improvement in pain and function on short-term follow-up.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
<a rel="license" href="http://creativecommons.org/licenses/by/4.0/"><img alt="Creative Commons License" style="border-width:0" src="https://i.creativecommons.org/l/by/4.0/88x31.png" /></a><br />This work is licensed under a <a rel="license" href="http://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution 4.0 International License</a>.
References
Davis TA, Garcia J, Mosquea TRJ, Zarate SD, Renshaw AA, Belzarena AC. Sclerosis of the clavicle--a challenging diagnosis. Radiol Case Rep. 2022;17(7):2362–6. https://pubmed.ncbi.nlm.nih.gov/35570861 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9096455 https://doi.org/10.1016/j.radcr.2022.04.012
Patel HC, Lopez-Ben R, Jaffe KA, Siegal GP. Painful sclerotic medial clavicle in a 46-year-old woman. Clin Orthop Relat Res. 2003(414):342–6. https://pubmed.ncbi.nlm.nih.gov/12966310 https://doi.org/10.1097/01.blo.0000081207.51121.30
Vierboom MA, Steinberg JD, Mooyaart EL, van Rijswijk MH. Condensing osteitis of the clavicle: magnetic resonance imaging as an adjunct method for differential diagnosis. Ann Rheum Dis. 1992;51(4):539–41. https://pubmed.ncbi.nlm.nih.gov/1586258 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1004710 https://doi.org/10.1136/ard.51.4.539
Greenspan A, Gerscovich E, Szabo RM, Matthews JG. Condensing osteitis of the clavicle: a rare but frequently misdiagnosed condition. AJR Am J Roentgenol. 1991;156(5):1011–5. https://pubmed.ncbi.nlm.nih.gov/2017922 https://doi.org/10.2214/ajr.156.5.2017922
Sul J, Lim J, Kang SK, Choi SW, Kwon HJ, Youm JY. Thoracic outlet syndrome induced by huge lipoma: a case report. Korean J Neurotrauma. 2019;15(1):67–71. Phttps://pubmed.ncbi.nlm.nih.gov/31098353 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6495579 https://doi.org/10.13004/kjnt.2019.15.e9
Sng KK, Chan BK, Chakrabarti AJ, Bell SN, Low CO. Condensing osteitis of the medial clavicle – an intermediate-term follow-up. Ann Acad Med Singap. 2004;33(4):499–502. https://pubmed.ncbi.nlm.nih.gov/15329764
Outwater E, Oates E. Condensing osteitis of the clavicle: case report and review of the literature. J Nucl Med. 1988;29(6):1122–5. https://pubmed.ncbi.nlm.nih.gov/3286838
Abbott LC, Lucas DB. The function of the clavicle ; its surgical significance. Ann Surg. 1954;140(4):583–99. https://pubmed.ncbi.nlm.nih.gov/13198093 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1609826 https://doi.org/10.1097/00000658-195410000-00014
Bisson LJ, Dauphin N, Marzo JM. A safe zone for resection of the medial end of the clavicle. J Shoulder Elbow Surg. 2003;12(6):592–4. https://pubmed.ncbi.nlm.nih.gov/14671524 https://doi.org/10.1016/s1058-2746(03)00176-9
Feng WL, Cai X, Li SH, et al. Balser plate stabilization for traumatic sternoclavicular instabilities or medial clavicle fractures: a case series and literature review. Orthop Surg. 2020;12(6):1627–34. https://pubmed.ncbi.nlm.nih.gov/32893491 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7767773 https://doi.org/10.1111/os.12726