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2024, Number 4

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Acta Med 2024; 22 (4)

Osteolysis of the distal clavicle: underdiagnosed cause of shoulder pain

Morales JRE, Gómez PMG
Full text How to cite this article 10.35366/117524

DOI

DOI: 10.35366/117524
URL: https://dx.doi.org/10.35366/117524

Language: Spanish
References: 5
Page: 318-320
PDF size: 235.28 Kb.


Key words:

magnetic resonance (MR), distal clavicle, osteolysis, weightlifting.

ABSTRACT

Introduction: osteolysis of the distal clavicle is an underdiagnosed cause of shoulder pain. There is no reported incidence in the literature. It is most frequently caused by repetitive microtrauma in patients who perform weightlifting or overhead sports. Case report: 22-year-old male with shoulder pain of one week of evolution. Conclusion: due to the increase in sports practice, osteolysis of the distal clavicle will be an increasingly seen entity, so it is essential to recognize the clinical picture and magnetic resonance findings, being the edema of the bone marrow the most frequent and characteristic.


REFERENCES

  1. Zawadsky M, Marra G, Wiater JM, Levine WN, Pollock RG, Flatow EL et al. Osteolysis of the distal clavicle: long-term results of arthroscopic resection. Arthroscopy. 2000; 16 (6): 600-605. doi: 10.1053/jars.2000.5875

  2. de la Puente R, Boutin RD, Theodorou DJ, Hooper A, Schweitzer M, Resnick D. Post-traumatic and stress-induced osteolysis of the distal clavicle: MR imaging findings in 17 patients. Skeletal Radiol. 1999; 28 (4): 202-208. doi: 10.1007/s002560050501.

  3. Pitchford KR, Cahill BR. Osteolysis of the distal clavicle in the overhead athlete. Oper Tech Sports Med. 1997; 5 (2): 72-77. doi: 10.1016/s1060-1872(97)80017-2.

  4. Roedl JB, Nevalainen M, Gonzalez FM, Dodson CC, Morrison WB, Zoga AC. Frequency, imaging findings, risk factors, and long-term sequelae of distal clavicular osteolysis in young patients. Skeletal Radiol. 2015; 44 (5): 659-666. doi: 10.1007/s00256-014-2092-2.

  5. DeFroda SF, Nacca C, Waryasz GR, Owens BD. Diagnosis and management of distal clavicle osteolysis. Orthopedics. 2017; 40 (2): 119-124. doi: 10.3928/01477447-20161128-03.




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Acta Med. 2024;22