Abstract
Aim: Osteitis of the clavicle is a rare but challenging disease. In this prospective study, the results of surgically treated patients (evidence level IV) are reported. Method: From 1995-2010, 34 patients [15 women, 19 men; average body mass index 25.5 kg/m2, average age 46 years, average follow-up 16.1 (range 3-53) months] with osteitis of the clavicle were enrolled in this case series. In addition to an aggressive surgical approach, local and systemic antibiotics were important parts of the treatment regime. Data collection included clinical examination including the Constant Murley score (CMS), laboratory findings, and radiographs for every patient pre-and postoperatively. Results: At the time of follow-up, all patients were free of infection. In 8 patients, surgical revision was required. In 22 patients, surrounding joints were involved in the infection. The average CMS showed a significant increase from 60 to 84 points at follow-up. Conclusion: The presented follow-up study shows encouraging results with high infection elimination rates and good functional outcomes with an aggressive surgical approach. It is mandatory to address surrounding joints since they are often involved in the infection.
Translated title of the contribution | Osteitis of the clavicle. Midterm results of 34 surgically treated patients |
---|---|
Original language | German |
Journal | Obere Extremitat |
Volume | 6 |
Issue number | 4 |
Pages (from-to) | 289-294 |
Number of pages | 6 |
ISSN | 1862-6599 |
DOIs | |
Publication status | Published - 01.12.2011 |