Table of Contents
RETRACTED

This article has been retracted upon receiving the submitting author’s confirmation that the paper was submitted without including Dr. Iain Campbell’s name among the manuscript authors, despite his contribution to the scientific content of the paper.

International Scholarly Research Notices
Volume 2014 (2014), Article ID 261952, 5 pages
http://dx.doi.org/10.1155/2014/261952
Clinical Study

Nontraumatic Lesions of the Clavicle in a Paediatric Population: Incidence and Management

1Department of Orthopaedics and Trauma, Royal Hospital of Sick Children, 9 Sciennes Road, Edinburgh EH9 1LF, UK
2Royal Infirmary of Edinburgh, Little France EH16 4SA, UK

Received 5 August 2014; Revised 16 September 2014; Accepted 17 September 2014; Published 29 October 2014

Academic Editor: Andrés Combalía

Copyright © 2014 N. D. Clement et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. The incidence of paediatric nontraumatic clavicle lesions is unknown and there is limited literature regarding the management of such patients. Methods. A review of a prospectively complied radiological database held at the study was conducted for a defined 10-year period. The study centre is the only paediatric service available for a defined catchment population. The case notes of all patients with nontraumatic lesions were reviewed, and the mode of presentation, the diagnostic dilemmas, and the management were recorded. Results. A total of 2133 clavicle radiographs were performed during the study period, with only five having a nontraumatic history. The overall incidence of paediatric nontraumatic clavicle lesions was 0.38 per 100,000 per year. Three patients were diagnosed with chronic recurrent osteomyelitis, one with chronic bifocal osteomyelitis, and one with Langerhans cell histiocytosis. All patients with osteomyelitis demonstrated a typical natural history of a chronic relapsing remitting infection. Three underwent bone biopsy; however, no organism was identified. Conclusion. This study demonstrated that the incidence of nontraumatic clavicle lesions is small, and those patients presenting with osteomyelitis should not routinely undergo a bone biopsy and close observation with the appropriate antibiotic therapy is advised.