Non-traumatic pathology of the clavicle in children

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Abstract

BACKGROUND: The clavicle in children is a site of multiple types of injuries, post traumatic pathology being predominant, and generally presents no diagnosis problems; in contrast non-traumatic lesions of the clavicle are rare and may pose a diagnostic and therapeutic problems for the orthopaedic surgeon.

AIM: The objective is to show that the clavicle in children can be a site of infectious, congenital and tumor lesions involving the functional and vital prognosis of the child.

MATERIALS AND METHODS: A retrospective study including 9 patients over an 9 year period from January 2013 to January 2022 was conducted. 4 boys and 5 girls were admitted in our institute with a mean age of 11.2 years (range 6–16 years). The right clavicle was affected in 8 patients, with no bilateral lesions.

RESULTS: There was a predominance of tumor lesions (4 benign and one malignant). Two patients had a clavicular osteomyelitis. The diagnosis of congenital pseudarthrosis of the clavicle was noted in the other two patients.

CONCLUSIONS: The aetiologies are variable, biopsy remains the key to establish the diagnosis in the majority of cases. Treatment varies according to the type of disease and may include symptomatic, expectant management, drugs therapy or surgical treatment.

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About the authors

Hatim Jabri

Hassan 2 University Hospital; Sidi Mohamed Ben Abdellah University

Author for correspondence.
Email: hatim.jabri@usmba.ac.ma
ORCID iD: 0000-0002-7145-6430

MD, Pediatric Surgery

Morocco, Fez; Fez

Mohammed Tazi Charki

Hassan 2 University Hospital; Sidi Mohamed Ben Abdellah University

Email: dr.tazimohammed@gmail.com
ORCID iD: 0000-0001-8453-5392
Scopus Author ID: 57200269016

Professor

Morocco, Fez; Fez

Hicham Abdellaoui

Hassan 2 University Hospital; Sidi Mohamed Ben Abdellah University

Email: drabdellaoui@yahoo.fr
ORCID iD: 0000-0002-5985-7362

Professor

Morocco, Fez; Fez

Karima Atarraf

Hassan 2 University Hospital; Sidi Mohamed Ben Abdellah University

Email: kamiatarraf@gmail.com
ORCID iD: 0000-0001-9709-4450

Professor

Morocco, Fez; Fez

Moulay Abderrahmane Afifi

Hassan 2 University Hospital; Sidi Mohamed Ben Abdellah University

Email: afifi.myabderrahmane@gmail.com
ORCID iD: 0000-0002-3375-6184

Professor, Head of Department

Morocco, Fez; Fez

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Supplementary files

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2. Fig. 1. Clinical swelling (a, b), radiological (c, d) presentation of congenital pseudarthrosis of the clavicle showing a loss of continuity without callus, immediate postoperative X-Ray (e) and radiological evolution 10 weeks after of the gesture (f) of a 14-year-old patient treated by the Masquelet technique

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3. Fig. 2. Clinical swelling (a), Radiological (b, c) appearance of the aneurysmal bone cyst showing Osteolysis and osteo condensation with fluid density zone and radiological evolution 1 year after the gesture (d) objectifying 1 cm bone defect in the medial extremity

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4. Fig. 3. Radiological presentation of osteochondroma showing osteolysis with periosteal reaction

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5. Fig. 4. Clinical (a) swelling and Radiological presentation (b) of Ewing sarcoma showing lobulated tissue process with infiltration of soft parts

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