title: Bilateral aseptic necrosis of the outer end of the clavicle.
abstract: We describe a 46-year-old woman who presented at intervals of seven years with osteonecrosis of the outer end of both clavicles. The clinical, radiological features and the appearances of the bone scans are described. Although the condition may be confused with osteolysis there is a dear histological distinction between the two conditions. If the symptoms fail to respond to conservative treatment, excision of the outer end of the clavicle is recommended.
authors.affiliation: Department of Orthopaedic Surgery and Traumatology, Rangueil Hospital, Toulouse, France.
authors.forename: Alexandre
authors.initials: A
authors.lastname: Nehme
authors.forename: Serge
authors.initials: S
authors.lastname: Bone
authors.forename: Anne
authors.initials: A
authors.lastname: Gomez-Brouchet
authors.forename: Jean-Louis
authors.initials: JL
authors.lastname: Tricoire
authors.forename: Philippe
authors.initials: P
authors.lastname: Chiron
authors.forename: Jean
authors.initials: J
authors.lastname: Puget
mesh_terms: D002968:Clavicle / Q000000981:diagnostic imaging* / Q000601:surgery; D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D010014:Osteolysis / Q000175:diagnosis; D010020:Osteonecrosis / Q000175:diagnosis* / Q000601:surgery; D011877:Radionuclide Imaging; D012008:Recurrence