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- Title
Garrè Sclerosing Osteomyelitis of the Clavicle: Clinical Results after Clavicular Resection.
- Authors
Calamita, Andrea Gabriele; Stimolo, Davide; Puccini, Serena; Innocenti, Matteo; Campanacci, Domenico Andrea
- Abstract
(1) Background: Chronic non-bacterial osteomyelitis (CNO), also known as sclerosing osteomyelitis of Garrè, is a rare inflammatory bone disease with a specific clinical picture, uncertain pathogenesis, and no consensus on an effective treatment. Most frequently affecting other long bones, CNO may rarely involve the clavicle. The aim of this study was to present the results of a series of patients affected by CNO of the clavicle treated with total and partial clavicula resection. In addition, a literature review of different types of treatment of CNO was performed. (2) Methods: We retrospectively reviewed three patients with Sclerosing Osteomyelitis of Garre' of the clavicle treated with partial resection of the clavicle (one) and with total clavicular resection (two). (3) Results: Patients (two female and one male) were an average age of 35.7 years at the time of the operation. At the 4-year follow-up, the mean active ROM was: 143° forward flexion, 133° abduction, 42° external rotation with an internal rotation of two patients at the interscapular level and one patient at the lumbosacral junction. The mean ASES score was 92/100 (range 87–100). In the literature review, after screening the abstracts and full texts for eligibility, 34 studies met the inclusion criteria. Conclusions: Partial or total clavicular resection resulted an effective treatment of CNO of the clavicle. The procedure seems to be particularly indicated after the failure of more conservative treatments.
- Subjects
CLAVICLE surgery; C-reactive protein; X-rays; RANGE of motion of joints; BIOPSY; SHOULDER joint; BACTERIOLOGY technique; TIME; RETROSPECTIVE studies; MAGNETIC resonance imaging; SURGICAL complications; TREATMENT effectiveness; OSTEOMYELITIS; ABDUCTION (Kinesiology); ROTATIONAL motion; LEUKOCYTE count; BLOOD sedimentation; HISTOLOGICAL techniques; COMPUTED tomography; CLAVICLE; EVALUATION
- Publication
Healthcare (2227-9032), 2024, Vol 12, Issue 2, p202
- ISSN
2227-9032
- Publication type
Article
- DOI
10.3390/healthcare12020202