Whole clavicle sequestration from chronic osteomyelitis in a 10 year old boy: A case report and review of the literature

• Chronic osteomyelitis is common in childhood and clavicular involvement is less common than femur, tibia or humerus.
• In this clavicular osteomyelitis, the entire bone was sequestered.
• It is not absolutely important to have huge involucrum before sequestrectomy since it is not a weight bearing bone.
• The whole sequestered clavicle was necessarily removed despite the thin involurcum.
• Regardless, the removal of the entire bone was not associated with functional deficit or shoulder asymmetry.

Chronic osteomyelitis is a childhood disease and so it is not uncommon to diagnose it in a 10 year old boy who is suffering from pains and discharging sinuses from the left shoulder girdle. What is not common is the involvement of the clavicle in this infective process and even more uncommon is for the whole length of the clavicle to sequester. This case report describes a rare case of chronic osteomyelitis of the left clavicle in which the entire length was removed as a sequestrum during surgery. And despite the removal of an entire length of the clavicle in the patient, there was no functional deficit and there was also no shoulder asymmetry.