You are here

Article Text

Article menu

other Versions

Download PDFPDF
Epilogue
Painful swelling of the clavicle
  1. Federico Poropat1,
  2. Martina Bevacqua2,
  3. Rita Giorgi1,
  4. Daniela Dibello1,
  5. Elisabetta Cattaruzzi1,
  6. Egidio Barbi1,2
  1. 1 Institute for Maternal and Child Health, IRCCS Burlo Garofolo, Trieste, Italy
  2. 2 University of Trieste, Trieste, Italy
  1. Correspondence to Dr Federico Poropat, Institute for Maternal and Child Health IRCCS Burlo Garofolo, Trieste, TS 34137, Italy; federico.poropat{at}burlo.trieste.it

https://doi.org/10.1136/archdischild-2018-315417

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    A 14-year-old boy was admitted for a painful swelling of the middle third of his right clavicle lasting 3 days. He denied any trauma and/or fever. Physical examination showed a soft swelling, without calor or hyperemia of the skin. Pain was exacerbated by bone percussion and by right arm abduction movements. Bone X-ray was normal, but an ultrasound showed enlargement with hypoechoic soft tissue and enhancement of the vascular signal with Doppler technique (figure 1). The blood tests were normal, with no elevation of erythrocyte sedimentation rate (ESR) and C reactive protein (CRP).

    Figure 1

    Ultrasound of the right sternoclavicular joint showing an enlargement of the articular capsule filled of hypoechoic inflammatory tissue collected between the two bone heads (red arrows).

    QUESTION 1:

    Which of the following do you think is the diagnosis in this patient?

    1. Infective osteomyelitis

    2. Chronic recurrent multifocal osteomyelitis (CRMO)

    3. Tietze syndrome (TS)

    4. Primary chest wall tumour

    QUESTION 2:

    Which is the next diagnostic step to confirm the clinical …

    View Full Text

    Footnotes

    • Funding None declared.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.