Zur Problematik der chronischen Claviculaosteomyelitis

Abstract

From 1978 to 1987, 139 children were treated for osteomyelitis at our institution, among them 6 with osteomyelitis of the clavicle. All six patients presented with a primary chronic osteomyelitis. Three children sustained a trauma anamnestically. Pathohistological examinations revealed a chronic, unspecific inflammation in all cases. Immobilisation was achieved by means of a DESAULT-cast or an abduction splint for 7 to 36 weeks, antibiotics (clindamycin) were given for 6 to 55 weeks, starting with intravenous administration for 1 weeks maximally. All patients were primarily operated on, mostly undergoing curettage of affected regions or partial resection. After 4 to 10 years, 4 children are well and without evidence of recurrence, 2 children are still under treatment for recurrences.

Chronic Osteomyelitis of Clavicle in a Neonate: Report of Morbid Complication of Adjoining MRSA Abscess

“…In a series of 38 children with osteomyelitis Mah et al reported 2.6% incidence of clavicular involvement [ 6 ]. In a case series of 139 children, Dietz et al reported 4.31% incidence of chronic clavicular osteomyelitis [ 7 ]. MRSA is an established nosocomial infection and most common pathogen reported for this rare entity.…”