Document Detail

Acute staphylococcal osteomyelitis of the clavicle.
MedLine Citation:
PMID:  9364385     Owner:  NLM     Status:  MEDLINE    
Osteomyelitis of the clavicle is a rare condition that is difficult to diagnose. We have reviewed five cases of acute staphylococcal osteomyelitis of the clavicle that have been collected over a 3-year period in our center. All patients had pain, fever, and swelling over the clavicle. All had a raised erythrocyte sedimentation rate with positive Staphylococcus aureus blood cultures at presentation. Three of our five patients required surgical drainage. Two of these patients had pathologic fracture of the clavicle while receiving treatment and then went on to develop complete resorption of the medial clavicle. Isolated reports of acute staphylococcal osteomyelitis of the clavicle in children occur in the literature. This behaves very differently from chronic sclerosing osteomyelitis and tuberculous osteomyelitis of the clavicle, which are more commonly reported. Our impression is that early treatment with high-dose intravenous antistaphylococcal antibiotics helps avoid the complication of pathologic fracture. The functional result after resorption of the medial clavicle is very good in the short term.
C M Lowden; S J Walsh
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  17     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    1997 Jul-Aug
Date Detail:
Created Date:  1997-12-11     Completed Date:  1997-12-11     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  467-9     Citation Subset:  IM    
Starship Children's Hospital, Auckland, New Zealand.
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MeSH Terms
Acute Disease
Anti-Bacterial Agents / therapeutic use
Clavicle* / injuries
Fractures, Spontaneous / etiology
Osteomyelitis / complications,  diagnosis*,  drug therapy,  microbiology
Retrospective Studies
Staphylococcal Infections / complications,  diagnosis*,  drug therapy
Reg. No./Substance:
0/Anti-Bacterial Agents

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