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儿童锁骨血源性骨髓炎

Hematogenous osteomyelitis of the clavicle in children.

作者信息

Morrey B F, Bianco A J

出版信息

Clin Orthop Relat Res. 1977 Jun(125):24-8.

PMID:880772
Abstract

Recognition of acute hematogenous osteomyelitis of the clavicle can be difficult. The condition may even to confused with fracture or malignancy. Treatment with parenteral antibiotics must be continuous for at least three weeks. If there is evidence of abscess formation, incision and drainage is indicated. If surgery is performed, a thorough debridement or partial resection may be required to prevent recurrence. If inadequately treated, the process becomes chronic. Resection of involved portion of the clavicle has been effective in the chornic stage of the disease. In the young child the resected segment often regenerates and the clavicle completely reconstitutes itself.

摘要

锁骨急性血源性骨髓炎的诊断可能存在困难。这种病症甚至可能与骨折或恶性肿瘤相混淆。肠外抗生素治疗必须持续至少三周。如果有脓肿形成的证据,则需要切开引流。如果进行手术,可能需要彻底清创或部分切除以防止复发。如果治疗不充分,病情会转为慢性。在疾病的慢性阶段,切除锁骨受累部分已被证明是有效的。对于幼儿,切除的节段通常会再生,锁骨会完全自我重建。

相似文献

1
Hematogenous osteomyelitis of the clavicle in children.儿童锁骨血源性骨髓炎
Clin Orthop Relat Res. 1977 Jun(125):24-8.
2
Hematogenous osteomyelitis at uncommon sites in children.儿童罕见部位的血源性骨髓炎。
Mayo Clin Proc. 1978 Nov;53(11):707-13.
3
Infections of the clavicle in children.儿童锁骨感染
Clin Orthop Relat Res. 1991 Apr(265):178-82.
4
Acute staphylococcal osteomyelitis of the clavicle.锁骨急性葡萄球菌骨髓炎
J Pediatr Orthop. 1997 Jul-Aug;17(4):467-9.
5
Malignant lesions are rare in medial third of the clavicle in children: the European Juvenile Medial End of Clavicle Tumour study.儿童锁骨内侧三分之一处的恶性病变罕见:欧洲儿童锁骨内侧端肿瘤研究
J Pediatr Orthop B. 2011 May;20(3):117-23. doi: 10.1097/BPB.0b013e328344107a.
6
[Chronic osteomyelitis of the clavicle].
Klin Padiatr. 1989 May-Jun;201(3):199-201. doi: 10.1055/s-2007-1025302.
7
A rare case of osteomyelitis of the clavicle in a child due to Group A streptococcal infection.一例因A组链球菌感染导致儿童锁骨骨髓炎的罕见病例。
BMJ Case Rep. 2019 Apr 11;12(4):e227090. doi: 10.1136/bcr-2018-227090.
8
Primary Osteomyelitis of the Clavicle in Children.儿童锁骨原发性骨髓炎
Orthopedics. 2016 Jul 1;39(4):e760-3. doi: 10.3928/01477447-20160526-10. Epub 2016 Jun 6.
9
Osteomyelitis of the clavicle.锁骨骨髓炎
Arch Otolaryngol Head Neck Surg. 1988 Sep;114(9):1000-2. doi: 10.1001/archotol.1988.01860210066017.
10
Subacute osteomyelitis in children.儿童亚急性骨髓炎
J Pediatr Orthop B. 2001 Apr;10(2):101-4.

引用本文的文献

1
A Rare Case of Clavicle Osteomyelitis in a Child and Literature Review.儿童锁骨骨髓炎1例罕见病例及文献复习
Case Rep Pediatr. 2016;2016:8252318. doi: 10.1155/2016/8252318. Epub 2016 Dec 5.
2
Clavicular osteomyelitis: a rare complication after surgery for head and neck cancer.锁骨骨髓炎:头颈癌手术后的一种罕见并发症。
Eur Arch Otorhinolaryngol. 2006 Jul;263(7):653-6. doi: 10.1007/s00405-006-0040-z. Epub 2006 Apr 13.
3
Osteomyelitis of the clavicle: clinical, radiologic, and bacteriologic findings in ten patients.锁骨骨髓炎:10例患者的临床、放射学及细菌学表现
Skeletal Radiol. 1994 Apr;23(3):205-10. doi: 10.1007/BF00197463.
4
Chronic sclerosing osteomyelitis of the clavicle. A manifestation of chronic recurrent multifocal osteomyelitis.锁骨慢性硬化性骨髓炎。慢性复发性多灶性骨髓炎的一种表现。
Arch Orthop Trauma Surg (1978). 1987;106(3):144-51. doi: 10.1007/BF00452200.