A diagnostic dilema in benign lytic lesions of clavicle - our experience of 37 patients |
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| Affiliation: | 1. Central Institute of Orthopaedics, Safderjung Hospital and VMMC, Delhi, 29, India;2. Department of Orthopaedics, Lady Hardinge Medical College, Shaheed Bhagat Singh Marg, 110002, New Delhi, India;1. Department of Orthopaedics, Vivekananda Polyclinic and Institute of Medical Sciences, Vivekanandapuri, Lucknow 226007, India;2. Department of Radiodiagnosis, Vivekananda Polyclinic and Institute of Medical Sciences, Vivekanandapuri, Lucknow 226007, India;1. Department of Orthopaedics, Apollo Hospitals, Bilaspur, chhattisgarh, 495001, India;2. Department of Orthopaedics, Apollo Hospitals, Bilaspur, India;1. Department of Orthopedic Surgery and Traumatology, Military Hospital Moulay Ismail Meknes, HMMI, BP 50000, Morocco;1. Department of Orthopaedics, Sunshine Hospital, Penderghast Road, Secunderabad, Telangana, 500003, India;2. Department of Radiology, Sunshine Hospital, Penderghast Road, Secunderabad, Telangana, 500003, India;3. Department of Orthopaedics, Maxcure Hospital, Madhapur, Hyderabad, 500081, India;1. Department of Orthopaedics, SMS Medical College, Jaipur, Rajasthan, India;2. Department of Radiodiagnosis, SMS Medical College, Jaipur, Rajasthan, India |
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| Abstract: | IntroductionThe studies on benign lytic lesion of clavicle are sparse. Asymptomatic nature of lesions, rare occurrence, the difficulty in interpretation of the X-rays because of the surrounding structures and striking similarities in various lesions further make the diagnosis of such atraumatic lytic lesions difficult.Material and methodsPrompted by the rarity of lesion and scarcity of data regarding presentation and management, we performed a prospective study of benign lytic lesions of clavicle. The results of the lesions are categorised in infective, metabolic and neoplastic conditions.ResultsInfective lesions were most common cause of symptomatic painful benign lytic lesions. Metabolic lesions, like rickets, were the most common cause of painless swelling in clavicle. Neoplastic conditions although rare were an important differential.ConclusionIt is important to differentiate and diagnose lytic lesions of clavicle. Early MRI and Biopsy of the lesion helps in preventing an undue delay in diagnosis. Most lesions when diagnosed in time have excellent results. |
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| Keywords: | Clavicle Lytic lesions Benign |
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