Similarities and Differences between Clavicular Bacterial Osteomyelitis and Nonbacterial Osteitis: Comparisons of 327 Reported Cases.
females, patients with clavicular pain and swelling, patients with a sinus tract, patients with lesions in the lateral side
comparisons of literature-reported cases
clavicular BO vs. NBO
efficacy
Abstract
Currently, both clavicular bacterial osteomyelitis (BO) and nonbacterial osteitis (NBO) remain not well understood owing to their much lower incidences. This study is aimed at summarizing similarities and differences between clavicular BO and NBO based on comparisons of literature-reported cases. We searched the PubMed and Embase databases to identify English published literature between January 1 Altogether, 129 studies with 327 patients were included. Compared with BO, clavicular NBO favored females ( Females, age below 20 years, and a long duration of clavicular pain and swelling may imply NBO. While the occurrence of a sinus tract and lesions in the lateral side may be clues of BO, inflammatory biomarkers revealed limited values for differential diagnosis. BO patients could achieve a better efficacy than the NBO patients based on current evidence.