A dilemma of fibrous dysplasia versus chronic osteomyelitis of the clavicle

Abstract

An 11-year-old child presented to the emergency department in 2005 with episodes of pain in his right clavicle. No history of trauma was noted and he was systemically well with no clinical signs of acute inflammation. He was extensively investigated and a diagnosis of fibrous dysplasia of the right clavicle was reached on histology. He developed periodic relapses of pain in the clavicle. He has been followed up since 2005, his most recent follow-up being in November 2011. The clinical dilemma of fibrous dysplasia versus chronic osteomyelitis is illustrated by highlighting this case.

The Many Faces of Pediatric Chronic Recurrent Multifocal Osteomyelitis (CRMO): A Practical Location‐ and Case‐Based Approach to Differentiate CRMO From Its Mimics

“…43 As the integrity of the bone is affected with each of these benign lesions, they may present with pathologic fracture, a notable distinction from CRMO, which rarely causes fractures in the clavicle. 43,44 Infection. Osteomyelitis may rarely affect the pediatric clavicle and remains in the differential diagnosis in the setting of suspected CRMO in any skeletal location.…”