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Diagnostic dilemma of an atraumatic clavicle fracture following radical treatment for laryngeal carcinoma

Published online by Cambridge University Press:  08 March 2006

Sarah Pellard ,
Laura Moss ,
Jamie M Boyce  and
Marcus J K M Brown
Sarah Pellard
Affiliation:
Department of Otolaryngology–Head & Neck Surgery, Royal Gwent Hospital, Newport, South Wales, UK
Laura Moss
Affiliation:
Department of Clinical Oncology, Velindre Hospital, Cardiff, South Wales, UK
Jamie M Boyce
Affiliation:
Department of Otolaryngology–Head & Neck Surgery, Royal Gwent Hospital, Newport, South Wales, UK
Marcus J K M Brown
Affiliation:
Department of Otolaryngology–Head & Neck Surgery, Royal Gwent Hospital, Newport, South Wales, UK
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Abstract

An atraumatic clavicular fracture presented after radical treatment for laryngeal carcinoma. This presented a diagnostic dilemma. The differential diagnosis included metastatic bone disease and osteomyelitis as well as post-radiotherapy complications. After investigation, the cause was thought to be a post-radiation fracture of the clavicle and to the best knowledge of the authors, this is the first ever documented in a patient who had undergone a total laryngectomy with bilateral modified radical neck dissections and post-operative radiotherapy. Cases of a fractured clavicle post-radiation have been most commonly documented in patients with breast cancer and only a few cases have been documented in patients with laryngeal cancer treated with a total laryngectomy, bilateral radical neck dissections and radiotherapy.

Keywords

Laryngeal NeoplasmsOsteoradionecrosisClavicle
Type
Research Article
Information
The Journal of Laryngology & Otology , Volume 119 , Issue 12 , December 2005 , pp. 1013 - 1014
Copyright
© 2005 Royal Society of Medicine Press

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