Walz M, Möllenhoff G, Dollriess C, Muhr G
Chirurgische Universitätsklinik, BG-Klinik Bergmannsheil, Bochum.
Chirurg. 1998 Nov;69(11):1244-51. doi: 10.1007/s001040050563.
Osteomyelitis can be subdivided into a bacterial exogenic (post-traumatic/postoperative), bacterial endogenic (hematogenous) and an abacterial type, including the rare group containing primary chronic sclerosing osteomyelitis, which is typically localized in the clavicle. In a review of the literature, the criteria for the various types of chronic sclerosing osteomyelitis are analyzed. Out of a group of 17 patients with osteomyelitis of the clavicle treated between 1978 and 1996, three cases of primary chronic sclerosing osteomyelitis are demonstrated. In the differential diagnosis, primary chronic sclerosing osteomyelitis of the clavicle has to be taken into consideration despite its rareness. After establishing a diagnosis by biopsy, in contrast to the other forms, drug therapy will be the treatment of choice and not an operation.
骨髓炎可细分为细菌性外源性（创伤后/术后）、细菌性内源性（血源性）和非细菌性类型，包括罕见的原发性慢性硬化性骨髓炎组，其通常局限于锁骨。在一篇文献综述中，分析了各种类型慢性硬化性骨髓炎的标准。在1978年至1996年期间接受治疗的17例锁骨骨髓炎患者中，证实有3例原发性慢性硬化性骨髓炎。在鉴别诊断中，尽管原发性慢性硬化性锁骨骨髓炎罕见，但仍需考虑。与其他形式不同，活检确诊后，药物治疗将是首选治疗方法而非手术。
