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Condensing Osteitis M12.819 716.81

 

 

synonyms:

Condensing Osteitis ICD-10

  • M12.811 - Other specific arthropathies, not elsewhere classified, right shoulder
  • M12.812 - Other specific arthropathies, not elsewhere classified, left shoulder
  • M12.819 - Other specific arthropathies, not elsewhere classified, unspecified shoulder

Condensing Osteitis ICD-9

  • 716.81 Other specified arthropathy, shoulder region

Condensing Osteitis Etiology / Epidemiology / Natural History

  • characterized by sclerosis and enlargement of the medial end of the clavicle with preservation of the sternoclavicular joint.
  • Rare
  • Generally women >40yrs old. Usually unilateral.
  • Etiology unknown. May be secondary to chronic stress

Condensing Osteitis Anatomy

Condensing Osteitis Clinical Evaluation

  • Tender swollen sternoclavicular joint.
  • Symptoms generally worsened with shoulder abduction.

Condensing Osteitis Xray / Diagnositc Tests

  • AP view, apical lordotic view, serendipity view. Difficult to view on plain films. Xrays demonstrate sclerosis and slight expansion of the medial 1/3 of the clavicle. Joint space preserved.
  • CT scan: often helpful to demonstrate sclerosis and slight expansion of the medial 1/3 of the clavicle. Joint space preserved.
  • MRI: demonstrates ossifcation of the marrow space. (Vierbloom MAC, Ann Rheum Dis 1992;51:539)
  • Bone scan: demonstrates increase uptake in medial clavicle.
  • Labs: ESR, CRP and WBC will be normal

Condensing Osteitis Classification / Treatment

  • Generally responds well to ice, NSAIDs, activity modifications.
  • Consider incisional or excisional biopsy if fails non-op treatment (Kruger GD, JBJS 1987;69A:550)

Condensing Osteitis Associated Injuries / Differential Diagnosis

Condensing Osteitis Complications

  • Generally benign.

Condensing Osteitis Follow-up Care

Condensing Osteitis Review References

  • Higginbotham TO, JAAOS 2005;13:138

 

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