Bilateral aseptic necrosis of the outer end of the clavicle.
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.
Nehme
Alexandre
A
Department of Orthopaedic Surgery and Traumatology, Rangueil Hospital, Toulouse, France.
Bone
Serge
S
Gomez-Brouchet
Anne
A
Tricoire
Jean-Louis
JL
Chiron
Philippe
P
Puget
Jean
J
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