Disorders of the sternoclavicular joint

Robinson, C. M.; Jenkins, P; Markham, P. E.; Beggs, Ian

doi:10.1302/0301-620x.90b6.20391

Cited by 145 publications

(135 citation statements)

References 81 publications

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“…However, if the speed of destruction by inflammation is faster than that of sclerotic reaction, the spinal structure would break. 8 We described herein a case of SAPHO syndrome complicated by severe destruction and kyphotic deformity leading to paralysis. To our knowledge, there are only seven cases of SAPHO syndrome with neurological deficit summarized in Table 1. 9-14 Surgery was performed leading to improved neurological signs.…”

Section: Discussionmentioning

confidence: 97%

“…The involvement of the sternoclavicular joint is uncommon, occurring in less than 4% of patients with ankylosing spondylitis. 8 The spinal lesions in SAPHO syndrome usually have a good prognosis and rarely cause neurological deterioration. 5 In fact, they generally have an insidious onset and repeated recurrence and remission.…”

Section: Discussionmentioning

confidence: 99%

“…Proper early treatment based on tumor necrosis factor-alpha blockers may prevent further neurological damage of spondylodiscitis related to SAPHO syndrome. 10 Gédouin et al 11 Fujii et al 12 Mulleman et al 13 Takigawa et al 8 Nakamura et al …”

Section: Discussionmentioning

confidence: 99%

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Spinal Cord Compression: An Infrequent Complication of SAPHO Syndrome

et al. 2015

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Section: Discussionmentioning

confidence: 97%

Section: Discussionmentioning

confidence: 99%

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Spinal Cord Compression: An Infrequent Complication of SAPHO Syndrome

et al. 2015

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“…By contrast, most disorders of the sternoclavicular joint continue to be treated conservatively because of the poor results associated with surgical treatment and the potentially catastrophic complications with which such surgery is associated. [6] The rarity of occurrence of tuberculosis of sternoclavicular joint can be explained by the peculiar blood supply of the joint. The disease usually starts in the bone at the medial end of the clavicle and presents as painless or painful swelling.…”

Section: Discussionmentioning

confidence: 99%

Tubercular Arthritis of Sternoclavicular Joint: A Case Report

Sachdeva¹,

Kaur²,

Garg³

et al. 2016

AIMDR

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Sternoclavicular joint (SCJ) is a rare site for occurrence of tubercular arthritis. Diagnosis often gets delayed due to rarity, leading to annoyance to patient. Here we report a case of 66 years old female who presented to us with painful swelling of Right>Left sternoclavicular joint. Diagnosis was clinched by clinical evaluation, appropriate imaging and strongly positive Interferon gamma release assay and fine needle aspiration cytology. Patient was put on ATT with significant improvement after 2 months.

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“…12 One may consider surgical options if the patient fails to respond to conservative measures within 48 hours. 13 Surgery should be performed by an experienced thoracic surgeon. The proximity of the SC joint to many vital structures increases the risk of morbidity associated with surgery.…”

Section: Discussionmentioning

confidence: 99%

Septic Arthritis of the Sternoclavicular Joint

Womack

2012

The Journal of the American Board of Family Medicine

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Septic arthritis is a medical emergency that requires immediate action to prevent significant morbidity and mortality. The sternoclavicular joint may have a more insidious onset than septic arthritis at other sites. A high index of suspicion and judicious use of laboratory and radiologic evaluation can help solidify this diagnosis. The sternoclavicular joint is likely to become infected in the immunocompromised patient or the patient who uses intravenous drugs, but sternoclavicular joint arthritis in the former is uncommon. This case series describes the course of 2 immunocompetent patients who were treated conservatively for septic arthritis of the sternoclavicular joint. Case 1A 50-year-old man presented to his primary care physician with a 1-week history of nausea, vomiting, and diarrhea. His medical history was significant for 1 episode of pseudo-gout. He had no chronic medical illnesses. He was noted to have a heart rate of 60 beats per minute and a blood pressure of 94/58 mm Hg. His heart rate increased to 72 beats per minute while seated. He had presumed gastroenteritis. He was given 2 L intravenous 0.9% normal saline in the outpatient setting, with an increase in blood pressure to 100/68 mm Hg. He was seen 2 days later and was beginning to feel better but had a new complaint of tenderness at the left sternum. The patient began a 5-day course of prednisone. Blood was collected at this time. The next day, blood analysis revealed a critical laboratory value for creatine phosphokinase level of 9005 U/L and an erythrocyte sedimentation rate of 120 mm/hour. The patient was asked to go to the hospital to receive further evaluation. At the time of admission, he continued to complain of left clavicular pain, and the course of prednisone failed to provide any pain relief. The patient denied any current fevers or chills. He was afebrile, and examination revealed a swollen and tender left sternoclavicular (SC) joint. The prostate was normal in size and texture and was not tender during palpation. Laboratory analysis showed a white blood cell count of 19.3 thousand/microliter, with 92% segmented neutrophils and no bands (Table 1). Urinalysis was significant for blood and leukocyte esterase. Blood and urine cultures were obtained. A radiograph of the clavicle was normal. The patient was started on intravenous fluids for the elevated creatine phosphokinase level. Ceftriaxone (1 g intravenous daily) was started for the leukocytosis, pyuria, and history of fever. On hospital day 1, blood and urine cultures yielded Gram-negative bacilli that were later identified as Escherichia coli. It was believed that the E. coli bacteremia seeded the SC joint, leading to septic arthritis. A computed tomography (CT) scan of the sternum was performed to assist with diagnosis and showed no fluid in the SC joint and no sign of bony erosion or sclerosis at the manubrium or medial end of the clavicle. The antibiotic was changed to intravenous ciprofloxacin for better tissue penetration of the urinary tract because the prostate was a concer...

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Disorders of the sternoclavicular joint

Cited by 145 publications

References 81 publications

Spinal Cord Compression: An Infrequent Complication of SAPHO Syndrome

Spinal Cord Compression: An Infrequent Complication of SAPHO Syndrome

Tubercular Arthritis of Sternoclavicular Joint: A Case Report

Septic Arthritis of the Sternoclavicular Joint

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