J Korean Orthop Assoc.  2000 Dec;35(6):927-930.

Osteomyelitis of Clavicle as a Complication of Subclavian Venipuncture: A case report

Affiliations
  • 1Department of Orthopaedic Surgery, College of Medicine, Yonsei University, Seoul, Korea.

Abstract

Primary osteomyelitis of the clavicle is an uncommon disease and usually hematogeneous in its origin associated with risk factors such as drug abuse, rheumatoid arthritis, diabetes mellitus and prolonged hemodialysis. We report 60-year-old man with osteomyelitis of the clavicle after subclavian vein catheterization. He visited with a history of painful swelling at left sternoclavicular joint area for a month. He had a subclavian vein catheterization history at left side when he admitted due to right spontaneous pneumothorax 5 weeks ago. On admission, ESR and CRP levels were elevated but radiologic findings were normal. Bone scanning showed increased uptake on medial portion of clavicle. MRI findings revealed signal changes of clavicle and surrounding soft tissues. Curettage was performed. Pathologic reports correlated with chronic osteomyelitis.

Keyword

Clavicle; Osteomyelitis; Subclavian venipuncture

MeSH Terms

Arthritis, Rheumatoid
Catheterization
Catheters
Clavicle*
Curettage
Diabetes Mellitus
Humans
Magnetic Resonance Imaging
Middle Aged
Osteomyelitis*
Phlebotomy*
Pneumothorax
Renal Dialysis
Risk Factors
Sternoclavicular Joint
Subclavian Vein
Substance-Related Disorders
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