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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Clin Cases. Aug 6, 2026; 14(22): 122012
Published online Aug 6, 2026. doi: 10.12998/wjcc.122012
Monostotic chronic nonbacterial osteomyelitis/chronic recurrent multifocal osteomyelitis of clavicle mimicking malignant bone tumor: A case report and review of literature
Asterios N Gkougkoulias, Marianna Vlychou, Zoe H Dailiana
Asterios N Gkougkoulias, Marianna Vlychou, Department of Radiology, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa 41500, Thessalia, Greece
Zoe H Dailiana, Department of Orthopaedic Surgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa 41500, Greece
Zoe H Dailiana, Department of Hand, Upper Extremity Surgery and Microsurgery, Iaso Thessalias, Larissa 41500, Greece
Author contributions: Dailiana ZH designed the report, determined the clinical significance of the case and treated the patient; Vlychou M performed the radiological analysis and image interpretation; Gkougkoulias AN contributed to radiological and data analysis and wrote the manuscript; and all authors have read and approved the final manuscript.
AI contribution statement: AI contribution statement for the the manuscript entitled “Monostotic chronic nonbacterial osteomyelitis/chronic recurrent multifocal osteomyelitis of clavicle mimicking malignant bone tumor: A case report and review of literature”: AI tools were not used.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: All authors declare that they have no conflict of interest to disclose.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Corresponding author: Zoe H Dailiana, Professor, Department of Orthopaedic Surgery, Faculty of Medicine, School of Health Sciences, University of Thessaly, Larissa 41500, Greece. dailiana@med.uth.gr
Received: April 13, 2026
Revised: June 12, 2026
Accepted: June 26, 2026
Published online: August 6, 2026
Processing time: 114 Days and 22.7 Hours
Core Tip

Core Tip: Monostotic chronic recurrent multifocal osteomyelitis/chronic nonbacterial osteomyelitis represents a diagnostic challenge, as its clinical and radiological features frequently overlap with those of aggressive osseous malignancies or infectious osteomyelitis. This case report underscores the necessity of a multifaceted diagnostic approach of bone tumors, integrating histopathological analysis and Whole-body magnetic resonance imaging to confirm a non-infectious inflammatory etiology. Recognizing this underestimated entity, is essential for clinicians to ensure accurate diagnosis, preclude unnecessary invasive surgical interventions, and implement effective conservative management strategies.

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