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Abstract：
Background This research aims to study the diagnostic patterns, anatomical locations, and age-related trends in pediatric clavicular lesions, filling a gap in pediatric-specific data for these conditions. Methodology A retrospective study of 20 pediatric patients (aged ≤14 years) with clavicular lesions was conducted based on inclusion and exclusion criteria emphasizing confirmed diagnosis and treatment specifics. The diagnostic process relied on open biopsy, followed by excision or curettage and histopathological examination. Results The study primarily involved patients with an average age of 7.1 ± 3.8 years. Eosinophilic granuloma was the most common diagnosis (30% of cases), particularly in the age group of 0-3 years. Clavicular lesions predominantly manifested as either a palpable lump or localized swelling with pain. The medial of the clavicle was the most frequent lesion location. No malignant tumors were found, and the functional outcomes post-treatment were satisfactory. Conclusions Pediatric clavicular lesions exhibit distinct diagnostic and anatomical characteristics compared to adults. Eosinophilic granuloma is significantly prevalent in early childhood, necessitating age-specific diagnostic and therapeutic approaches. The study advocates for multidisciplinary collaboration in the treatment and improved understanding of these lesions, which are vital for pediatric orthopedic oncology.
摘要：
背景本研究旨在研究诊断模式，解剖位置,以及儿童锁骨病变的年龄相关趋势，填补了这些条件的儿科特定数据的空白。方法根据纳入和排除标准对20例锁骨病变患儿（年龄≤14岁）进行回顾性研究，强调确诊的诊断和治疗细节。诊断过程依赖于开放式活检，然后切除或刮治和组织病理学检查。结果该研究主要涉及平均年龄为7.1±3.8岁的患者。嗜酸性肉芽肿是最常见的诊断（30％的病例），特别是在0-3岁的年龄组。锁骨病变主要表现为可触及的肿块或局部肿胀伴疼痛。锁骨内侧是最常见的病变位置。没有发现恶性肿瘤,治疗后的功能结局令人满意.结论与成人相比，小儿锁骨病变表现出独特的诊断和解剖学特征。嗜酸性肉芽肿在儿童早期非常普遍，需要特定年龄的诊断和治疗方法。该研究提倡在治疗方面进行多学科合作，并提高对这些病变的理解，这对儿科骨科肿瘤至关重要。
