Primary tumours and tumorous lesions of clavicle

Abstract

Primary tumours and tumorous lesions of the clavicle are very rare, and little literature is available regarding their characteristics and outcome. We studied the clinical, radiological, and histopathological characteristics, and outcome of management of patients with primary tumours of the clavicle presenting to us from 1996-2005. Twelve cases of primary tumours of the clavicle presented during the above period. Seven patients were treated with partial or complete claviculectomy, and no reconstruction was done. These seven patients were evaluated for functional results with AMSTS scoring. Eight patients out of twelve had a primary malignant bone tumour, four of these being Ewing's sarcoma. No particular predilection of location of the tumour within the clavicle was seen. Functional and oncological results of claviculectomy were good. The distribution of types of tumours in the clavicle is quite different from long-bone tumours. No reconstruction is required following partial or total claviculectomy.

Limb sparing surgery for bone tumours of the shoulder girdle: the oncological and functional results

“…Mayil Vahanan et al [7] also reported partial scapulectomy in eight cases and gave superior functional results to total scapulectomy. Kapoor et al [8] concluded that no bone reconstruction was required following partial or total clavicectomy. In our group, no bone reconstruction was performed in eight cases with partial scapulectomy and partial clavicectomy and the average MSTS functional score was 88%; their daily life and work was not affected severely.…”

Reconstruction with non-vascularized fibular autograft after resection of clavicular benign tumor

“…2,3 The clavicle is a strange place to tumors has been reported an incidence of 0.45-1.01% of all bone tumors and the experience is limited. 4 The distal femur, proximal humerus, and proximaltibia are the most common sites of occurrence. 3,4 Radiographic findings usually presented well-circumscribed lesion that is centered in an epiphysis of a long bone; however, it also may be located in the mid bone.…”

“…4 The distal femur, proximal humerus, and proximaltibia are the most common sites of occurrence. 3,4 Radiographic findings usually presented well-circumscribed lesion that is centered in an epiphysis of a long bone; however, it also may be located in the mid bone. In adults, it must be differentiated from giant cell tumor, and it differs in that it does not usually present intratumoral calcifications, no thin layer sclerosis, affecting soft tissues surrounding the lesion.…”

“…In adults, it must be differentiated from giant cell tumor, and it differs in that it does not usually present intratumoral calcifications, no thin layer sclerosis, affecting soft tissues surrounding the lesion. 4 At follow-up, radiograph should be obtained from the site of the tumor and chest every 6 months for 3 years, and annually thereafter. Has been reported recurrence 10-20% to 1-40% by some authors.…”

Medium-term results after total clavicle resection in cases of osteitis: a consecutive case series of five patients

“…Since then, a limited number of case series corresponding to this salvage procedure have been published. In the aforementioned case series tumours, infections, pseudarthroses and chronic pain after trauma or surgery have been described as indications for claviculectomy [2][3][4][5]. All of these case series comprised mostly mixed patient populations.…”