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At least 325 records · Page 18Linked to original sources
PubMed1991

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

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.

Adolescent↗
PubMed1988

[Sternoclavicular dislocations. Observations on the treatment and result of 49 cases].

Over a period of 19 years, 49 dislocations of the sternoclavicular joint were treated. Two were epiphyseal separations. The dislocation was an isolated injury in only 41% of the patients. There were associated injuries to the scapula in 55% and to the thorax in 37%. Forty dislocations were anterior, 8 retrosternal and one merely unstable. Seventeen were treated by operation, 15 by closed reduction and 17 were left untreated. We have been able to review 55% of these patients with an average follow up of 6.7 years; 15 were between 2 and 6 years after injury, and 12 between 6 and 16 years. The end result was achieved by 3 months; 42% of patients had an excellent result, 58% were satisfied and 25% disappointed with the final outcome. Operative treatment gave 66% of excellent results, whereas immobilisation, particularly with unreduced dislocations, accounted for most of those judged unsatisfactory. Closed treatment should be undertaken initially, but if reduction is not achieved an operation should be carried out. If old unreduced dislocations are unsatisfactory they should be stabilised by myoplasty, or by excision of the inner end of the clavicle if the articular surface is damaged.

Adolescent↗
PubMed1999

Injury to the first rib synchondrosis in a rugby footballer.

Injuries to the first rib synchondrosis are uncommon in sport. The potential for serious complications following posterior displacement is similar to that seen with posterior sternoclavicular joint dislocation. Clinical examination and plain radiography may not provide a definitive diagnosis. Computerised tomography is the most appropriate imaging modality if this injury is suspected. Posterior dislocation of the first rib costal cartilage with an associated fracture of the posterior sternal aspect of the synchondrosis has not been previously reported.

Adult↗
PubMed2002

Thoracic outlet syndrome caused by chronic retrosternal dislocation of the clavicle. Successful treatment by transaxillary resection of the first rib.

Traumatic posterior dislocation of the sternoclavicular joint is an unusual injury. We report a rare, late complication in the form of a thoracic outlet syndrome. Resection of the first rib resulted in prompt and complete resolution of the symptoms and would appear to be the appropriate treatment, avoiding the complications associated with resection of the clavicle.

Adolescent↗
PubMedDate not supplied

Short-term outcomes after surgical treatment of traumatic posterior sternoclavicular fracture-dislocations in children and adolescents.

Posterior sternoclavicular joint (SCJ) dislocations and posteriorly displaced physeal fractures of the medial clavicle require prompt diagnosis and treatment to prevent persistent symptoms, recurrent instability, and potential complications. The purpose of this investigation was to review one institution's experience with these injuries. A retrospective review of 13 patients with posterior SCJ fracture-dislocations was performed. Average patient age was 14.6 years, and 85% of injuries were sustained during sporting activities. Patients with posterior dislocations underwent ligament repair and those with posteriorly displaced medial clavicular physeal fractures had open reduction and suture stabilization. At an average of 22.2 months follow-up, all patients had excellent functional outcomes. There were no respiratory or neurovascular complications. Skeletally immature patients may expect excellent functional outcomes following surgery for posterior SCJ dislocations or posteriorly displaced physeal fractures of the medial clavicle.

Adolescent↗
PubMed1976

Subchondral resorption of bone in renal osteodystrophy.

In a radiographic-pathologic study of the spine and several axial joints in a cadaver with renal osteodystrophy, subchondral resorption of bone is described as an important mechanism of osseous abnormality. Widening and irregularity of the sacroilliac and sternoclavicular joints and symphysis pubis are related predominantly to trabecular destruction beneath cartilage surfaces, substitutive fibrosis, and new bone formation. Subperiosteal abnormalities at these locations produce juxta-articular erosions. The presence of osteitis fibrosa cystica about multiple Schmorl's nodes within the thoracic vertebral bodies suggests that subchondral resorption beneath the cartilage end-plates of the spine may be associated with disk protrusions and represents one further example of hyperparathyroid joint disease.

Aged↗
PubMed2000

Conservative management of sternoclavicular injuries.

Injuries to the sternoclavicular joint are rare because of its strong ligamentous support. Because of the strong forces involved and the proximity of the joint to the great vessels and other mediastinal structures, however, sternoclavicular injuries can be very serious and potentially life threatening. Sternoclavicular injuries include traumatic sprains and dislocations, atraumatic spontaneous dislocations, and epiphyseal fractures in patients under 25 years of age. Diagnosis is made by history, physical examination, and radiographic studies such as the CT scan. Conservative management consists of benign neglect and closed or percutaneous reduction and immobilization. If the injury is treated acutely, conservative management often produces good long-term results.

Humans↗
PubMed1996

Sternoclavicular septic arthritis in a patient with end-stage liver disease.

Sternoclavicular septic arthritis is an uncommon clinical entity that is often misdiagnosed on initial presentation. It has generally been described in IV heroin users and immunocompromised hosts. We report the case of a 43-year-old woman with endstage liver disease who presented with a fever, a painful sternoclavicular joint, and gastrointestinal bleeding. The clinical presentation, diagnosis, and treatment of sternoclavicular septic arthritis are reviewed.

Adult↗
PubMed1989

Computed tomography of the chest in the trauma patient.

Thirty-six (1.5%) of 2340 patients admitted to the Trauma Unit at UCSD Medical Center over a 26-month period had 46 chest CT scans. A retrospective review of these cases showed that CT was useful in the diagnosis and management of suspected post-traumatic infective complications, assessment of suspected sternoclavicular joint dislocation, and localisation of bullet fragments. Other unsuspected abnormalities (pneumothoraces, misplaced endotracheal tube, intraperitoneal air, and axillary vein disruption) were also well demonstrated. However, CT failed to demonstrate some skeletal injuries, in particular, manubriosternal joint dislocation and vertebral fracture. Our experience supports a role for chest CT in certain limited clinical situations following trauma.

Humans↗
PubMed1989

Ipsilateral sternoclavicular dislocation and clavicle fracture.

A case of ipsilateral distal clavicle fracture and sternoclavicular joint dislocation is reported. This combination of injuries results from two separate forces in sequence. Closed reduction of the dislocation was possible only after open reduction and internal fixation of the clavicle fracture was performed, because of the inability to manipulate the free-floating segment. Patients should be carefully examined for associated brachial plexus injuries.

Adult↗
PubMed1990

[Posterior sternoclavicular luxation. Apropos of 6 cases].

The authors have reviewed six retro-sternal dislocations of the clavicle. The indirect mechanism of this dislocation was in 3 cases, due to sport accidents (rugby). The radiological incidence of Heining allowed the diagnosis and the CT examination carried out the checkup of the associated lesions. The surgical reduction revealed lesions of the meniscus which were found in 3 cases out of 6 and allowed one to realize a plastic operation using the tendon of the subclavian muscle (4 times out of 6) in order to stabilize by sternoclavicular joint, as well in recent injuries as in old ones. The results were satisfactory.

Adolescent↗
PubMed1994

[PDS cord fixation of sternoclavicular dislocation and para-articular clavicular fractures].

Sternoclavicular joint dislocation and para-articular fractures of the clavicle are rare injuries. Because severe complications of dorsal dislocations have often been seen and because functional impairment has often followed ventral dislocations, we treat most patients with such injuries operatively. Internal fixation with K-wires frequently leads to severe complications. We present our operation techniques with a resorbable 2 mm polydioxanon cord. This pack up technique can be used in both dislocations and para-articular fractures with no risk of implant dislocation.

Clavicle↗
PubMed1983

Sternoclavicular erosions in polymyalgia rheumatica.

The incidence of erosive arthropathy of the sternoclavicular joints in 25 consecutive cases of polymyalgia rheumatica was studied by means of sternoclavicular tomography. Definite erosions were found in 11 patients. Erosions were most likely to be found in patients whose symptoms had been present for more than 6 months.

Female↗
PubMed1977

Orthopedic symptoms in pustular bacterid (pustulosis palmaris et plantaris): Tietze's syndrome and arthritis of manubriosternal joint due to focal infection.

Painful orthopedic symptoms in the sternal area, such as arthritis of the manubriosternal and sternoclavicular joint or Tietze's syndrome, were found in 14 of 132 cases of pustulosis palmaris et plantaris. The majority of the pustulosis palmaris et plantaris patients with orthopedic symptoms had skin eruptions not only on the palms and soles, but also on the backs of the hands and feet, the arms, the legs and the trunk. Such cases were usually accompanied by elevation of the erythrocyte sedimentation rate, leucocytosis, changes in serum globulin, and also pyrexia at the time of exacerbation. The skin and orthopedic symptoms often worsened after acute exacerbation of the focal infection, and occasionally responded to tonsillectomy or chemotherapy with antibiotics, which is suggestive of the probable cause of the bacterid.

Adult↗
PubMed1984

Secondary malignant synovitis: report of three cases and review of the literature.

Metastatic malignant deposits in joints are rare and only 16 cases have been described. The details of three further cases are presented, a girl with Hodgkin's lymphoma in a sternoclavicular joint, an elderly lady with carcinoma of the ascending colon and knee metastases and a middle-aged man, also with knee deposits, from an adenocarcinoma of lung. The clinical features together with details of synovial fluid cytology of all 19 cases are analysed.

Adenocarcinoma↗
PubMed1991

The triggering role of physical injury in the onset of peripheral arthritis in seronegative spondyloarthropathy.

Three more cases of B27-positive patients who developed peripheral arthritis immediately after trauma are reported. The first had an exacerbation of arthritis in the right hip after falling from her motor-bike. The second had arthritis of the distal interphalangeal (DIP) joint of the right forefinger after shutting his finger in the door of his car. The third had arthritis of the right sternoclavicular joint after a road-accident while fastening her safety belt.

Adult↗
PubMed1986

Functional anatomy of the shoulder complex.

The shoulder complex, together with other joint and muscle mechanisms of the upper limb, primarily is concerned with the ability to place and control the position of the hand in the visual work space in front of the body. The shoulder mechanism provides the upper limb with a range of motion exceeding that of any other joint mechanism. The placement of the hand is determined by four components of the shoulder complex: the glenohumeral, acromioclavicular, and sternoclavicular joints and the scapulothoracic gliding mechanism. The clavicular joints permit the scapula to move against the chest wall during movements of the arm, allowing the glenoid fossa to follow the head of the humerus, and thus contribute significantly to total arm movement. The functional interrelationships between the glenohumeral, scapulothoracic, and clavicular joint mechanisms are critical in providing a full, functional ROM. Any pathological condition of any one of these mechanisms will disturb upper limb function. The ligamentous and periarticular structures of the shoulder complex combine in maintaining the joint relationships, withstanding the forces applied to the joint surfaces, and stabilizing the dependent limb.

Acromioclavicular Joint↗