[Condensing osteitis of the middle third of the clavicle]

Rev Chir Oncol Radiol O R L Oftalmol Stomatol Chir. 1989 Sep-Oct;38(5):381-6.
[Article in Romanian]

Abstract

A total of 16 cases only have been reported in the world specialized literature. This is a new case, of a patient aged 20 years, a male working in the metallurgical industry. This is the first case reported in our country. Clinically the patient presented a painful global swelling of the median third of the clavicula on the left side. Biological constant were normal. Radiographic investigations revealed an increase in volume and a condensation of the median part of the clavicula, and scintigraphical studies revealed an intense incorporation of the radioisotope. Histopathologic studies showed lamellar and spongious bone tissue, with a normal trabecular structure, although considerably thickened. Data for the differential diagnosis are presented, and in the first place those concerning intra-sterno-clavicular hyperostosis, sterno-costo-clavicular arthrosis, chronic subacute osteitis, avascular necrosis of the clavicular epiphysis (Friedrich disease), and Tietze syndrome. The etiopathogenesis of this rare benign clinico-radiologic entity remains unknown.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Adult
  • Clavicle / diagnostic imaging*
  • Clavicle / pathology
  • Clavicle / surgery
  • Diagnosis, Differential
  • Humans
  • Male
  • Osteitis / diagnostic imaging*
  • Osteitis / pathology
  • Osteitis / surgery
  • Osteosclerosis / diagnostic imaging
  • Osteosclerosis / pathology
  • Osteosclerosis / surgery
  • Radiography