PDF(Pubmed)
Abstract：
UNASSIGNED: Clavicular osteomyelitis, unlike the metaphysis of long bones, is a rare condition that poses a challenge for orthopedic surgeons in terms of diagnosis. The unique location of the clavicle makes it crucial to diagnose and effectively manage these non-traumatic clavicular lesions promptly. Localized pain and swelling are common symptoms experienced by patients with clavicular osteomyelitis.
METHODS: A 9-year-old boy presented with swelling and pain in the left clavicular area for 6 months. There was no fever or history of trauma. Physical examination revealed a tender, 2 cm by 3 cm swelling over the left clavicular area, with no abnormal findings in other body systems. This case was treated with surgical debridement and PO cloxacillin, and his condition improved.
UNASSIGNED: To achieve an accurate diagnosis, a thorough analysis of the patient\'s clinical presentation, along with blood workups, radiologic studies, bacteriological studies, and histopathological studies, is essential. Treatment options for clavicular osteomyelitis may involve surgery, medical intervention, or a combination of both. Existing literature suggests that the cure rate does not significantly differ between patients who receive medical treatment and those who undergo surgery for clavicular osteomyelitis.
CONCLUSIONS: In evaluating non-traumatic clavicular lesions, considering chronic osteomyelitis as a potential diagnosis is important. The final diagnosis is determined through analysis of the clinical presentation, laboratory and radiographic tests, and confirmation with assistance from local culture and biopsy.
METHODS: A 9-year-old boy presented with swelling and pain in the left clavicular area for 6 months. There was no fever or history of trauma. Physical examination revealed a tender, 2 cm by 3 cm swelling over the left clavicular area, with no abnormal findings in other body systems. This case was treated with surgical debridement and PO cloxacillin, and his condition improved.
UNASSIGNED: To achieve an accurate diagnosis, a thorough analysis of the patient\'s clinical presentation, along with blood workups, radiologic studies, bacteriological studies, and histopathological studies, is essential. Treatment options for clavicular osteomyelitis may involve surgery, medical intervention, or a combination of both. Existing literature suggests that the cure rate does not significantly differ between patients who receive medical treatment and those who undergo surgery for clavicular osteomyelitis.
CONCLUSIONS: In evaluating non-traumatic clavicular lesions, considering chronic osteomyelitis as a potential diagnosis is important. The final diagnosis is determined through analysis of the clinical presentation, laboratory and radiographic tests, and confirmation with assistance from local culture and biopsy.
摘要：
■锁骨骨髓炎，不像长骨的干干，是一种罕见的疾病，在诊断方面对整形外科医生构成了挑战。锁骨的独特位置使得及时诊断和有效管理这些非创伤性锁骨病变至关重要。局部疼痛和肿胀是锁骨骨髓炎患者常见的症状。
方法：一名9岁男孩出现左侧锁骨区肿胀和疼痛6个月。没有发烧或外伤史。体格检查显示，左锁骨区域肿胀2厘米乘3厘米，在其他身体系统中没有异常发现。该病例采用手术清创术和PO氯唑西林治疗，他的病情好转了.
■为了实现准确的诊断，全面分析患者的临床表现，随着血液检查，放射学研究，细菌学研究，和组织病理学研究，是必不可少的。锁骨骨髓炎的治疗选择可能涉及手术，医疗干预,或两者的组合。现有文献表明，接受药物治疗的患者和接受锁骨骨髓炎手术的患者之间的治愈率没有显着差异。
结论：在评估非创伤性锁骨病变时，将慢性骨髓炎作为潜在诊断非常重要.最终诊断是通过分析临床表现来确定的，实验室和射线照相测试，并在当地培养和活检的帮助下进行确认。
方法：一名9岁男孩出现左侧锁骨区肿胀和疼痛6个月。没有发烧或外伤史。体格检查显示，左锁骨区域肿胀2厘米乘3厘米，在其他身体系统中没有异常发现。该病例采用手术清创术和PO氯唑西林治疗，他的病情好转了.
■为了实现准确的诊断，全面分析患者的临床表现，随着血液检查，放射学研究，细菌学研究，和组织病理学研究，是必不可少的。锁骨骨髓炎的治疗选择可能涉及手术，医疗干预,或两者的组合。现有文献表明，接受药物治疗的患者和接受锁骨骨髓炎手术的患者之间的治愈率没有显着差异。
结论：在评估非创伤性锁骨病变时，将慢性骨髓炎作为潜在诊断非常重要.最终诊断是通过分析临床表现来确定的，实验室和射线照相测试，并在当地培养和活检的帮助下进行确认。
