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. 2008 Dec;32(6):829-34.
doi: 10.1007/s00264-007-0397-7. Epub 2007 Jun 22.

Primary tumours and tumorous lesions of clavicle

Sudhir Kapoor  1 , Akshay Tiwari, Saurabh Kapoor
Affiliations

Primary tumours and tumorous lesions of clavicle

Sudhir Kapoor et al. Int Orthop. 2008 Dec.

Abstract
in English, French

Primary tumours and tumorous lesions of the clavicle are very rare, and little literature is available regarding their characteristics and outcome. We studied the clinical, radiological, and histopathological characteristics, and outcome of management of patients with primary tumours of the clavicle presenting to us from 1996-2005. Twelve cases of primary tumours of the clavicle presented during the above period. Seven patients were treated with partial or complete claviculectomy, and no reconstruction was done. These seven patients were evaluated for functional results with AMSTS scoring. Eight patients out of twelve had a primary malignant bone tumour, four of these being Ewing's sarcoma. No particular predilection of location of the tumour within the clavicle was seen. Functional and oncological results of claviculectomy were good. The distribution of types of tumours in the clavicle is quite different from long-bone tumours. No reconstruction is required following partial or total claviculectomy.

Les tumeurs primaires et les lésions tumorales de la clavicule sont très rares et peu de publications existent sur ce sujet. Nous avons étudié sur le plan clinique, radiologique et histopathologique l’évolution de patients présentant une telle tumeur sur une période s’étalant de 1996 à 2005. 12 cas de tumeurs primitives de la clavicule ont été recensés sur cette période. 7 patients ont été traités par une résection partielle ou complète de la clavicule sans reconstruction. 7 patients ont été évalués sur le plan fonctionnel par le score AMSTS. 8 patients sur 12 présentaient une tumeur maligne primitive des os et 4 d’entre elles étaient un sarcome d’Ewing. Nous n’avons pas mis en évidence de localisation particulière dans ces tumeurs au niveau de la clavicule. Les résultats fonctionnels et étiologiques de la claviculectomie restent satisfaisants. Les tumeurs sont différentes de celles des os longs, il n’est pas utile de reconstruire la clavicule après une résection partielle ou totale de celle-ci.

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Figures

Fig. 1
Fig. 1
Pre- and postoperative radiographs and MRI of 17-year-old female patient with Ewing’s sarcoma involving left clavicle. Patient remains disease-free 10 years postoperatively
Fig. 2
Fig. 2
CT scan images showing a periosteal desmoid tumour of the clavicle
Fig. 3
Fig. 3
Eosinophilic granuloma involving left clavicle and right seventh rib in a 6-years old boy
Fig. 4
Fig. 4
A large chondrosarcoma involving the right clavicle
See this image and copyright information in PMC

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