Unveiling the ‘unique bone’: a study of the distribution of focal clavicular lesions

Suresh, S.; Saifuddin, Asif

doi:10.1007/s00256-008-0507-7

Cited by 30 publications

(19 citation statements)

References 15 publications

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“…Dahlin reported 52 cases of clavicle tumors, of which 46 were malignant [2]. On the other hand, Suresh [27] reported 59 cases of clavicle disease, only 15% of the cases were malignant although nonneoplastic diseases were also included in this study. In our review, 206 cases were included in a sample of the largest size and best ethnological homogeneity for primary clavicle tumors and tumorous lesions to date.…”

Section: Discussionmentioning

confidence: 81%

Primary clavicle tumors and tumorous lesions: a review of 206 cases in East Asia

Kawaguchi

Shi

et al. 2012

Arch Orthop Trauma Surg

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Clavicle tumors and tumorous lesions in East Asia had an inclined occurrence in respect to age and gender. The most common tumors were eosinophilic granuloma and tumors derived from the bone marrow hematopoietic system. Age of onset was found to be a risk factor for malignancy. These characteristics may be related to the special tissue structures and mode of development in the clavicle as well as to the genetic traits of the typical Mongoloids in East Asia.

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Section: Discussionmentioning

confidence: 81%

Primary clavicle tumors and tumorous lesions: a review of 206 cases in East Asia

Kawaguchi

Shi

et al. 2012

Arch Orthop Trauma Surg

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“…CRMO is the most common nonneoplastic process involving the clavicle in patients less than 20 years of age (55). It is also the most common disease process to involve the medial third of the clavicle in all age groups (55). Up to 30% of all CRMO lesions are located in the clavicle (40).…”

Section: Claviclementioning

confidence: 99%

“…Like CRMO in other parts of the body, clavicular involvement appears to be more common in female patients than in male patients. CRMO is the most common nonneoplastic process involving the clavicle in patients less than 20 years of age (55). It is also the most common disease process to involve the medial third of the clavicle in all age groups (55).…”

Section: Claviclementioning

confidence: 99%

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Imaging of Chronic Recurrent Multifocal Osteomyelitis

Khanna¹,

Sato²,

Ferguson³

2009

RadioGraphics

310

285

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Chronic recurrent multifocal osteomyelitis (CRMO) is an autoinflammatory disorder of children and young adults that is characterized by nonbacterial osteomyelitis. Patients typically present with multifocal bone pain secondary to sterile osseous inflammation, and the disease has a relapsing and remitting course. The cause of CRMO remains unclear, although the results of several studies have suggested a genetic component. The typical imaging findings of CRMO include lytic and sclerotic lesions in the metaphyses of long bones and the medial clavicles. Other common sites of disease are the vertebral bodies, pelvis, ribs, and mandible. CRMO is often bilateral and multifocal at presentation. Owing to the lack of a diagnostic test, CRMO remains a diagnosis of exclusion. Although generally a self-limiting disease, CRMO can have a prolonged course and result in significant morbidity. Radiologists can be the first to suggest this diagnosis given its characteristic radiographic appearance and distribution of disease. Radiologists should be familiar with the typical imaging findings of CRMO to prevent unnecessary multiple biopsies and long-term antibiotic treatment in children with CRMO.

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“…The clavicle forms the anterior portion of the shoulder girdle and is considered to be embryologically unique as it is the first bone in the human body to ossify. However, from the oncological standpoint, the clavicle is a rare primary site for malignancy, metastatic involvement of the clavicle is even rarer (0-15 %) and precious little is known about its management [5]. A clinician evaluating a patient with pain around the clavicle will only rarely encounter a bony tumor, compared to the vast majority of complaints originating as a result of arthritis, ligamentous injuries and fractures.…”

Section: Discussionmentioning

confidence: 99%

Clavicle metastasis from carcinoma thyroid- an atypical skeletal event and a management dilemma

Krishnamurthy

2015

Indian J Surg Oncol

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Bone metastases is a well described event in the natural history of thyroid cancers and has the potential to severely impact the quality of life by causing pain, fractures and spinal cord compression. Follicular thyroid carcinomas have a greater propensity for distal metastasis than papillary and anaplastic thyroid carcinomas. The most common sites of skeletal metastasis among thyroid cancer patients are femur followed by humerus, pelvis, radius, and scapula. Clavicle metastasis at initial presentation is exceedingly rare. Although many studies have examined the various prognostic factors for patients with bony metastases from thyroid cancers, very few have actually evaluated the effects of surgical management. We present an unusual case of metastatic papillary carcinoma thyroid presenting with clavicle metastasis and review the role of surgical management of bone metastases. Clavicular resection as a part of the management of metastatic papillary carcinoma thyroid has, to the best of our knowledge never been reported before.

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Unveiling the ‘unique bone’: a study of the distribution of focal clavicular lesions

Abstract: The clavicle is not a primary common site for any particular tumour; hence, diagnosis of the lesions can be challenging. Our study has suggested that few factors like age and site of the lesions may be helpful in diagnosis.

Cited by 30 publications

References 15 publications

Primary clavicle tumors and tumorous lesions: a review of 206 cases in East Asia

Primary clavicle tumors and tumorous lesions: a review of 206 cases in East Asia

Imaging of Chronic Recurrent Multifocal Osteomyelitis

Clavicle metastasis from carcinoma thyroid- an atypical skeletal event and a management dilemma

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