L'esperienza che insegna
Pillole di clavic... ultura
Clavic... ulture pills
Martina Bevacqua1, Andrea Trombetta1, Federico Verzegnassi2, Federico Poropat2, Egidio Barbi1,2, Alessandro Ventura3
1Università di Trieste; 2IRCCS Materno-Infantile “Burlo Garofolo”, Trieste; 3Professore Emerito di Pediatria, Università di Trieste
Giugno 2018 - pagg. 391 -394
Abstract
The paper presents the cases of tree children with clavicular swelling and a different final
diagnosis that offered the opportunity to discuss the key points for the differential diagnosis
of clavicular swelling and to draw a rational diagnostic work-up underlining the decisive
role of MRI. Although several causes (in order: Chronic Recurrent Multifocal Osteomyelitis,
Ewing sarcoma, Tietze syndrome) of clavicular swelling are proposed, it is essential to highlight
that main causes are represented by neoplastic and inflammatory causes.
However, even if clinical and anamnestic assessment are suitable to disentangle from diagnostic
incertitude, imaging is often useful to obtain a diagnosis, before (or even without)
biopsy. It is anyway mandatory to rule out neoplasia in all non-traumatic clavicular swelling.
Parole chiave
Classificazione MeSH
Contenuto riservato
Per leggere l'articolo completo è necessario effettuare il login.
Non sei ancora registrato? Registrati
Bibliografia
1. Giedion A, Holthusen W, Masel LF, et al.
Subacute and chronic symmetrical osteomyelitis.
Ann Radiol 1972;15:329-42.
2. Brown T, Wilkinson RH. Chronic recurrent
multifocal osteomyelitis. Radiology 1988;166:
493-6.
3. Iyer RS, Thapa MM, Chew FS. Chronic recurrent
multifocal osteomyelitis: review. AJR
Am J Roentgenol 2011;196:S87-S91.
4. Khanna G, Sato TS, Ferguson P. Imaging of
chronic multifocal osteomyelitis. Radiographics
2009;29:1159-77.
5. Jurriaans E, Singh NP, Finlay K et al. Imaging
of chronic recurrent multifocal
osteomyelitis. Radiol Clin North Am 2001;39:
305-27.
6. Gikas PD, Islam L, Aston W et al. Nonbacterial
osteitis: a clinical, histopathological, and
imaging study with a proposal for protocol-based
management of children with this diagnosis.
J Orthop Sci 2009;14:505-16.
7. Mortensson W, Edeburn G, Fries M, et al.
Chronic recurrent multifocal osteomyelitis in
children. A roentgenologic and scintigraphic
investigation. Acta Radiol 1988;29:565-70.
8. Jurik AG, Egund N. MRI in chronic recurrent
multifocal osteomyelitis. Skeletal Radiol
1977;26:230-8.
9. Girschik HJ, Krauspe R, Tschammler A, et
al. Chronic recurrent osteomyelitis with clavicular
involvement in children: diagnosis value
of different imaging techniques and therapy
with non-steroidal anti-inflammatory drugs.
Eur J Pediatr 1998;157:28-33.
10. Appell RG, Oppermann HC, Becker W, et
al. Condensing osteitis of the clavicle in
childhood: a rare sclerotic bone lesion. Review
of literature and report of seven children. Pediatr
Radiol 1983;13:301-6.
11. Peersman B, Vanhoenakcker FM,
Heyman S, et al. Ewing’s sarcoma: imaging
features. JBR-BTR 2007;90:368-76.
12. Vade A, Eissenstadt R, Schaff HB. MRI aggressive
bone lesions of childhood. Magn Reson
Imagin 1992;10:89-96.
13. Baker ME, Martinez S, Kier R, Wain S. High
resolution computed tomography of the cadaveric
sternoclavicular joint: findings in degenerative
joint diseases. J Comput Assist Tomogr
1988;12:3-8.
14. NORD (National Organization for Rare Disorders).
https://rarediseases.org.
15. Jeon IH, Jeong WJ, Yi JH, Kim HJ, Park IH.
Non-Hodgkin’s lymphoma at the medial clavicular
head mimicking Tietze syndrome. Rheumatol
Int 2012; 32(8):2531-4.
16. Volterrani L, Mazzei MA, Giordano N,
Nuti R, Galeazzi M, Fioravanti A. Magnetic resonance
imaging in Tietze’s syndrome. Clin
Exp Rheumatol 2008;26(5):848-53.
Corrispondenza: martinabevacqua91@gmail.com
