Monarthritis of the manubriosternal joint

Jurik, Anne Grethe; Graudal, H

doi:10.1007/bf00270522

Cited by 16 publications

(7 citation statements)

References 25 publications

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“…The localized ACW sclerosis, present in seven females, was similar to the early changes in patients observed to develop more extensive sternal sclerosis [20,22]. It always occurred adjacent to uneven joint facets, but involvement of both joint facets, as seen in ordinary arthritis, only occurred at the manubriosternal joint.…”

Section: Discussionmentioning

confidence: 57%

“…It is possible that these patients had previously had sclerosis, which can disappear [22], but it is also possible that the PPP arthropathy may have different characteristics, being mainly localized either to bones or to joints. The finding of simultaneous occurrence of ACW symptoms and PPP only in patients without sclerosis who also had a higher age at the onset of PPP and ACW complaints (Table 2) may support this.…”

Section: Discussionmentioning

confidence: 99%

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Anterior chest wall involvement in patients with pustulosis palmoplantaris

Jurik¹

1990

Skeletal Radiol.

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With the aim of determining the frequency and radiographic features of anterior chest wall involvement in patients with pustulosis palmoplantaris, a questionnaire was sent to 107 patients. Ninety-three patients returned the questionnaire, five of whom were excluded from further analysis due to the appearance of psoriatic lesions. Twenty-five (28%) of the remaining 88 patients reported pain and/or swelling of joints or bones in the anterior chest wall. All were examined radiographically, using tomography, and a group of 20 patients without anterior chest wall complaints were examined similarly. Sixteen of the patients with, but none of the patients without, complaints were found to have arthro-osteitis of the anterior chest wall, consisting of diffuse sclerosis of the manubrium sterni in one patient, localized sclerosis in seven patients, and sequelae of arthritis of the sternoclavicular, upper sternocostal and/or manubriosternal joint in eight patients.

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Section: Discussionmentioning

confidence: 57%

Section: Discussionmentioning

confidence: 99%

Anterior chest wall involvement in patients with pustulosis palmoplantaris

Jurik¹

1990

Skeletal Radiol.

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“…The course and appearance of radiographic ACW abnormalities were compared with those from a different series of 24 patients without generatised arthritis (series 2). Their ACW changes have previously been described [25][26][27], but additional follow-up information has been added. Nine of the 24 patients appeared with manubriosternal monarthritis initially.…”

Section: Methodsmentioning

confidence: 99%

“…Based on concomitant skin disease, 3 could be classified as having PPP, 2 psoriatic, 1 acne arthritis, and 1 reporting psoriasis in the family as having possible psoriatic arthritis. One patient had HLA-B27 associated changes, but the disorder of 1 patient was unclassifiable [25]. Eight of the 24 patients appeared with sclerosis and hyperostosis of the manubrium sterni, in 4 associated with PPP and in 1 with Ps plus PPP, whereas the disorder of 3 patients was unclassifiable [27].…”

Section: Methodsmentioning

confidence: 99%

Seronegative arthritides of the anterior chest wall: a follow-up study

Jurik

1991

Skeletal Radiol.

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Fourteen patients with arthritis of the anterior chest wall (ACW) as part of ankylosing spondylitis, reactive arthritis, and arthritis associated with psoriasis and/or pustulosis palmoplantaris (PPP) were re-examined after periods of 5-15 years (mean 9 years) using tomography. The findings were compared with those of 24 similarly examined patients with predominant osseous sclerotic ACW lesions or monarthritis of the manubriosternal joint. Pronounced osseous hyperostosis in the region of the sternoclavicular joint accompanied by ossification of the costoclavicular ligament was found to occur only in patients with PPP lesions. Patients with ankylosing spondylitis and reactive arthritis developed slight or moderate hyperostosis only and no ligament ossification. Predominant osseous sclerotic sternal and clavicular lesions occurred in patients with PPP and in patients without skin disease or traits suggesting well-known arthritides, but not as part of ankylosing spondylitis and reactive arthritis. Arthritis of the manubriosternal joint and upper sternocostal joints developed in all forms of arthritis.

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“…Nella SAPHO anche la porzione anteriore delle coste può andare incontro ad una iperostosi. Le stesse articolazioni condro-sternali e manubrio-sternali possono essere interessate da analoghi processi con irregolarità dell'osso subcondrale, cui può far seguito un allargamento della spazio articolare o, viceversa, una riduzione dello stesso sino ad una vera e propria fusione articolare (8). Non sono escluse da alterazioni altre strutture periarticolari con quadri di entesopatia calcifica, responsabili verosimilmente della ridotta mobilità della parete toracica anteriore.…”

Section: Semeiotica Strumentale (Imaging)unclassified

Anterior chest wall examination reviewed

Monaco¹,

Santilli²,

Trotta³

2011

Reumatismo

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INTRODUZIONE Le articolazioni che compongono il massiccio toracico anteriore, non sempre adeguatamente considerate nella pratica clinica, rappresentano il bersaglio di molte affezioni muscolo-scheletriche, alcune delle quali di notevole interesse reumatologico. Con le tecniche a disposizione sino agli anni '70 risultava difficile esplorare in maniera soddisfacente queste strutture, principalmente a causa della loro conformazione e dei rapporti di contiguità e sovrapposizione con formazioni anatomiche adiacenti. L'avvento di più moderne metodiche di imaging ha consentito di migliorare sensibilmente le possibilità di indagine. Scopo di questa breve rassegna è di analizzare sinteticamente alcuni elementi clinico-anamnestici e radiologici utili allo studio delle strutture che costituiscono la parete toracica anteriore. La semeiotica del massiccio toracico anteriore rivisitata This review briefly shows the applications of imaging techniques for the evaluation of the anterior chest wall focusing on what has been done in the SAPHO syndrome which can be considered prototypical for this regional involvement since it is the osteo-articular target mainly affected by the disease.Indirizzo per la corrispondenza: Prof. Francesco Trotta, Unità Operativa di Reumatologia Azienda Ospedaliera Universitaria Arcispedale S.Anna Corso della Giovecca 203, 44100 Ferrara, Italy E-mail. trf@unife.it CENNI DI ANATOMIALa regione anteriore del torace è costituita dallo sterno, dalle coste e dalle clavicole che con questo si articolano. Come è noto lo sterno si compone di manubrio, corpo e processo xifoideo tra cui sono interposte le relative articolazioni. La articolazione manubrio-sternale, denominata anche sinfisi sternale superiore, in alcuni casi può contenere tessuto sinoviale e andrebbe pertanto più propriamente considerata una anfiartrosi. I capi articolari sono rivestiti di cartilagine jalina collegati tra loro da uno strato di tessuto fibro-cartilagineo simile a quello della sinfisi pubica. Con il passare degli anni l'articolazione subisce un graduale processo di ossificazione trasformandosi di fatto in una sinostosi. Il periostio che riveste la superficie del manubrio si prolunga sul corpo dello sterno formando una sorta di capsula fibrosa. La presenza di un'angolo ottuso tra la faccia anteriore del manubrio e del corpo dà origine ad un rilievo, apprezzabile come una cresta ossea, che prende il nome di "angolo di Louis", importante punto di repere anatomico per la corretta individuazione delle strutture costali e dei relativi spazi intercostali. In semeiotica reumatologica infatti,

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Monarthritis of the manubriosternal joint

Cited by 16 publications

References 25 publications

Anterior chest wall involvement in patients with pustulosis palmoplantaris

Anterior chest wall involvement in patients with pustulosis palmoplantaris

Seronegative arthritides of the anterior chest wall: a follow-up study

Anterior chest wall examination reviewed

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