Non-traumatic pathology of the clavicle in children
- Authors: Jabri H.1,2, Tazi Charki M.1,2, Abdellaoui H.1,2, Atarraf K.1,2, Afifi M.1,2
-
Affiliations:
- Hassan 2 University Hospital
- Sidi Mohamed Ben Abdellah University
- Issue: Vol 11, No 3 (2023)
- Pages: 353-360
- Section: Exchange of experience
- Submitted: 08.05.2023
- Accepted: 07.07.2023
- Published: 29.09.2023
- URL: https://journals.eco-vector.com/turner/article/view/397487
- DOI: https://doi.org/10.17816/PTORS397487
- ID: 397487
Cite item
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.
Keywords
Full Text
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; FezMohammed 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; FezHicham Abdellaoui
Hassan 2 University Hospital; Sidi Mohamed Ben Abdellah University
Email: drabdellaoui@yahoo.fr
ORCID iD: 0000-0002-5985-7362
Professor
Morocco, Fez; FezKarima Atarraf
Hassan 2 University Hospital; Sidi Mohamed Ben Abdellah University
Email: kamiatarraf@gmail.com
ORCID iD: 0000-0001-9709-4450
Professor
Morocco, Fez; FezMoulay 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; FezReferences
- Franklin JL, Parker JC, King HA. Nontraumatic clavicle lesions in children. J Pediatr Orthop. 1987;7(5):575–578. doi: 10.1097/01241398-198709000-00014
- Di Gennaro GL, Cravino M, Martinelli A, et al. Congenital pseudarthrosis of the clavicle: a report on 27 cases. J Shoulder Elbow Surg. 2017;26(3):e65–e70. doi: 10.1016/j.jse.2016.09.020
- Theros EG. Radiological atlas of bone tumors radiological atlas of bone tumors. Radiology. 1974;110(2):276. doi: 10.1148/110.2.276
- Chen Y, Yu X, Huang W, et al. Is clavicular reconstruction imperative for total and subtotal claviculectomy? A systematic review. J Shoulder Elbow Surgery. 2018;27(5):e141–e148. doi: 10.1016/j.jse.2017.11.003
- Rockwood CA, Wilkins KE, Beaty JH, et al. Rockwood and Wilkins’ fractures in children. Philadelphia: Lippincott Williams & Wilkins; 2006.
- Fitzwilliams Duncan CL. Hereditary cranio – cleido-dysostosis. Lancet. 1910;176(4551):1466–1475. doi: 10.1016/S0140-6736(01)38817-7
- David-West KS, Sherlock DA. Congenital pseudarthrosis of the clavicle: surgery or conservative treatment. J Orthop Traumatol. 2002;3:109–111. doi: 10.1007/s101950200037
- Masquelet AC. La technique de la membrane induite dans les reconstructions osseuses segmentaires: développement et perspectives. Bulletin de l’Académie Nationale de Médecine. 2017;201(1–3):439–453. (In Fr.) doi: 10.1016/S0001-4079(19)30514-X
- Abdellaoui H, Atarraf K, Chater L, et al. Congenital pseudarthrosis of the clavicle treated by Masquelet technique. BMJ Case Reports. 2017;2017. doi: 10.1136/bcr-2017-221557
- Smith J, Yuppa F, Watson RC. Primary tumors and tumor-like lesions of the clavicle. Skeletal Radiol. 1988;17(4):235–246. doi: 10.1007/BF00401804
- Maffulli N. Osteoid osteoma of the clavicle. J Shoulder Elbow Surg. 1999;8(1):98. doi: 10.1016/S1058-2746(99)90064-2
- Terra BB, Rodrigues LM, Padua DVH, et al. Osteoid osteoma of the distal clavicle. Revista Brasileira de Ortopedia (English Edition). 2017;52(2):210–214. doi: 10.1016/j.rboe.2017.01.006
- Parikh SN, Desai VR, Gupta A, et al. Langerhans cell histiocytosis of the clavicle in a 13-year-old boy. Case Rep Orthop. 2014;2014:1–3. doi: 10.1155/2014/510287
- Jabra AA, Fishman EK. Eosinophilic granuloma simulating an aggressive rib neoplasm: CT evaluation. Pediatr Radiol. 1992;22(6):447–448. doi: 10.1007/BF02013508
- Abdelaal AHK, Sedky M, Gohar S, et al. Skeletal involvement in children with Langerhans cell histiocytosis: healing, complications, and functional outcome. SICOT J. 2020;6:28. doi: 10.1051/sicotj/2020024
- Mascard E, Gomez-Brouchet A, Lambot K. Bone cysts: unicameral and aneurysmal bone cyst. Orthop Traumatol Surg Res. 2015;101(1):S119–S127. doi: 10.1016/j.otsr.2014.06.031
- Kaiser CL, Yeung CM, Raskin KA, et al. Aneurysmal bone cyst of the clavicle: a series of 13 cases. J Shoulder Elbow Surgery. 2019;28:71–76. doi: 10.1016/j.jse.2018.06.036
- Hoffman EB, Knudsen CJ, Paterson MP. Acute osteomyelitis and septic arthritis in children: a spectrum of disease. Pediatr Surg Int. 1990;5. doi: 10.1007/BF00174330
- Gerszten E, Allison MJ, Dalton HP. An epidemiologic study of 100 consecutive cases of osteomyelitis. Southern Med J. 1970;63(3):365–367. doi: 10.1097/00007611-197004000-00003
- Khan MA, Osborne NJ, Anaspure R, et al. Clavicular swelling – classic presentation of chronic non-bacterial osteomyelitis. Arch Dis Childhood. 2013;98:238. doi: 10.1136/archdischild-2012-303187
- Wilson D. Diagnosis of bone and joint disorders. Clinical Radiol. 2003;58(5):412. doi: 10.1016/S0009-9260(02)00578-0
- Srivastava KK, Garg LD, Kochhar VL. Tuberculous osteomyelitis of the clavicle. Acta Orthop Scand. 1974;45(5):668–672. doi: 10.3109/17453677408989676