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https://www.readbyqxmd.com/read/29849351/sternoclavicular-septic-arthritis-caused-by-streptococcus-pyogenes-in-a-child
#1
Yenisleidy Paez-Perez, Terrance McGovern, Ashley Flannery, Farid Naim
Septic arthritis can be a devastating condition that leads to further morbidity and potential mortality if not identified early in its course. Emergency providers must keep septic arthritis high on their differential of any joint-related pain in the pediatric population. We present a case of an eight-year-old female who initially presented with the chief complaint of chest pain and was subsequently diagnosed with septic arthritis of the left sternoclavicular joint in the emergency department.
November 2017: Clinical practice and cases in emergency medicine
https://www.readbyqxmd.com/read/29806357/-development-and-biomechanical-study-of-anatomical-locking-plate-of-sternoclavicular-joint
#2
Kun Yang, Yunkang Yang, Jianhua Ge, Gen Li, Tianhao Wu, Rui Bai, Feifan Xiang, Yuanlin Sun
Objective: To develop an anatomical locking plate in accordance with the anatomical characteristics of the sternoclavicular joint, which is reliable fixation and easy to operate, so as to provide an ideal internal fixation device for the treatment of sternoclavicular joint dislocation or peripheral fractures. Methods: Gross measurement and CT measurement were performed on the 8 adult antiseptic and moist cadaver specimens (16 sides) to measure the parameters of surrounding bone structure of the sternoclavicular joint...
January 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29806281/-development-and-clinical-application-of-a-new-type-of-anatomical-locking-plate-for-sternoclavicular-joint-fracture-and-dislocation
#3
Yuanlin Sun, Yunkang Yang, Jianhua Ge, Kun Yang, Feifan Xiang, Ju Zhou, Jie Liang
Objective: To report a new type of anatomical locking plate for sternocalvicular joint, and investigate its effectiveness in treatment of sternoclavicular joint fracture and dislocation. Methods: A new type of anatomical locking plate for sternoclavicular joint was developed, which accorded with the anatomical features and biomechanical characteristics of Chinese sternoclavicular joint. By adopting the method of clinical randomized controlled study, 32 patients with the sternoclavicular joint fracture and dislocation who met the selection criteria between June 2008 and May 2015 were randomly divided into groups A and B ( n =16), and the patients were treated with new anatomic locking plate and distal radial T locking plate internal fixation, respectively...
March 1, 2018: Chinese Journal of Reparative and Reconstructive Surgery
https://www.readbyqxmd.com/read/29778590/sternoclavicular-joint-palpation-pain-the-shoulder-s-waddell-sign
#4
Brent A Ponce, Adam T Archie, Shawna L Watson, Parke W Hudson, Mariano E Menendez, Gerald McGwin, Eugene W Brabston
BACKGROUND: Pain is a complex and subjective reality and can be magnified by nonorganic or nonanatomic sources. Multiple studies have demonstrated a correlation between psychological factors and patients' perceptions of musculoskeletal pain and disability. In addition, nonorganic findings as part of the physical examination are well and long recognized. The purpose of this study was to analyze the relationship between a shoulder examination test, palpation of the sternoclavicular joint (SCJ), and psychosocial conditions including chronic pain, depression, and anxiety...
May 16, 2018: Journal of Shoulder and Elbow Surgery
https://www.readbyqxmd.com/read/29776683/septic-arthritis-of-the-sternoclavicular-joint-a-unique-late-complication-after-tracheostomy
#5
Kayvon F Sharif, Fred M Baik, Ameya A Jategaonkar, Azita S Khorsandi, Mark L Urken
BACKGROUND: Septic arthritis of the sternoclavicular joint is a rare infection associated with significant morbidity and mortality. Several risk factors for septic arthritis have been reported in the literature ranging from immunodeficiency to intravenous drug use. CASE PRESENTATION: A 63-year-old male previously treated for synchronous squamous cell carcinomas of the epiglottis and floor of mouth presented with tenderness and swelling of the sternoclavicular joint two months after tracheostomy decannulation...
May 15, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/29716477/endovascular-repair-of-three-concurrent-mycotic-pseudoaneurysms
#6
Megumi Asai, Olivia Van Houtte, Terry R Sullivan, Mauricio Garrido, Danielle M Pineda
INTRODUCTION: Mycotic pseudoaneurysm has traditionally been repaired surgically with excision of the infected artery and revascularization via extra-anatomical or in situ bypass. There have been reports of endovascular repair for high-risk patients for formal surgical repair. We present a case of a patient with 3 large pseudoaneurysms arising from the right subclavian artery, descending thoracic aorta, and right popliteal artery treated with endovascular and hybrid intervention. CASE: A 74-year-old male with remote history of coronary artery bypass graft and recent sternoclavicular joint abscess developed 3 concurrent pseudoaneurysms arising from the right subclavian artery, distal descending thoracic aorta, and right popliteal artery...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29685464/septic-arthritis-of-the-sternoclavicular-joint
#7
Maxwell A Thompson, Kevin S Barlotta
No abstract text is available yet for this article.
April 20, 2018: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/29673816/technical-nuances-of-exposing-rat-common-carotid-arteries-for-practicing-microsurgical-anastomosis
#8
Ali Tayebi Meybodi, Joseph Aklinski, Sirin Gandhi, Michael T Lawton, Mark C Preul
BACKGROUND: Animal models are commonly used in training protocols for microsurgical vascular anastomosis. Rat common carotid arteries (CCAs) are frequently used for this purpose. Much attention has been paid to the technical details of various anastomosis configurations using these arteries. However, technical nuances of exposing rat CCAs have been understudied. The purpose of this study is to describe nuances of technique for safely and efficiently exposing rat CCAs in preparation for a vascular anastomosis...
April 17, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29614144/severe-right-upper-chest-pain-%C3%A2-tender-right-sternoclavicular-joint-%C3%A2-dx
#9
Louis Eubank, Samantha Wood, Tania Strout
A 16-year-old hockey player presented to our emergency department with sharp pain in his right upper chest after "checking" another player during a game. The pain did not resolve with rest and was worse with movement and breathing. The patient did not have dysphagia, dyspnea, paresthesias, or hoarseness. The physical examination revealed tenderness over the right sternoclavicular joint (SCJ) without swelling or deformity. A distal neurovascular exam was intact, and a chest x-ray showed no evidence of dislocation or fracture...
April 2018: Journal of Family Practice
https://www.readbyqxmd.com/read/29610173/sternoclavicular-arthritis-as-a-clinical-presentation-for-lyme-disease
#10
Sriram Ramgopal, Margalit Rosenkranz, Andrew J Nowalk, Noel S Zuckerbraun
Lyme disease is caused by Borrelia burgdorferi and can lead to dermatologic, neurologic, cardiac, and musculoskeletal manifestations. The arthritis of Lyme disease is typically monoarticular, with the knee being most commonly involved. Lyme arthritis of small joints has not previously been well described. We report 3 children who presented with sternoclavicular joint swelling and who were found to have Lyme disease based on enzyme-linked immunosorbent assay and Western blot. This description of sternoclavicular Lyme arthritis highlights the importance of considering Lyme disease in the differential and diagnostic workup of new onset, small joint arthritis in patients presenting from or with travel to Lyme endemic regions...
April 2018: Pediatrics
https://www.readbyqxmd.com/read/29600101/approach-to-resection-of-sternoclavicular-tumor-abutting-the-common-carotid-artery-in-irradiated-field
#11
Juan A Muñoz-Largacha, Jaromir Slama, Jeffrey Kalish, Scharukh Jalisi, Virginia R Litle, Kei Suzuki
Head and neck cancer recurrence at the sternoclavicular junction (SCJ) in irradiated field poses a special challenge in terms of surgical planning. We herein present a case of tonsillar squamous cell cancer recurrence at the SCJ in a patient with history of tracheostomy and head and neck radiation. We describe our preoperative planning for vascular control and possible reconstruction as well as our approach for safe resection.
January 2018: Journal of Thoracic Disease
https://www.readbyqxmd.com/read/29568531/-mycobacterium-kansasii-osteomyelitis-a-masquerading-disease
#12
Kiranmai Bhatt, Krishna Banavathi
Introduction: Non-tuberculous mycobacteria (NTM) are environmental bacteria capable of causing an opportunistic myriad of infections. Mycobacterium kansasii , one such NTM, is responsible for causing pulmonary disease in immunocompromised patients. Rare extrapulmonary manifestations such as lymphadenitis, osteoarticular manifestations, and skin and soft tissue infections are also observed. Case presentation: Here, we report an unusual case of sternoclavicular joint and elbow joint infection with M...
January 2018: JMM Case Reports
https://www.readbyqxmd.com/read/29531495/pustulotic-arthro-osteitis-sonozaki-syndrome-a-case-report-and-review-of-literature
#13
Reyhan Kose, Taskin Senturk, Gokhan Sargin, Songul Cildag, Yasemin Kara
Pustulotic arthro-osteitis (PAO) is a rare chronic inflammatory disease, which has now been classified as a seronegative spondyloarthritis. The sternoclavicular and sternocostal joints, pelvis, vertebra, hip, and long bones are affected. Skin findings of the disease are accepted as a variant of pustular psoriasis, but some authors have suggested that palmoplantar pustulosis (PPP) is a different entity. The synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome should be considered in the differential diagnosis...
February 2018: Eurasian Journal of Medicine
https://www.readbyqxmd.com/read/29529953/sternoclavicular-joint-replacement-case-report
#14
Fabienne Marie-Louise Robertson, Ali Abdullah Mohammed, Simon Peter Frostick
INTRODUCTION: This report describes the first known sternoclavicular joint (SCJ) replacement with a custom-made prosthesis. HISTORY: A 42-year-old male who presented post left medial clavicular excision with significant pain and limited range of motion impeding his daily activities and ability to work. The patient subsequently underwent a left SCJ arthroplasty with a custom-made prosthesis. Postoperatively, the patient suffered an anterior dislocation of the prosthetic joint which was successfully rectified and stabilized with soft tissue reconstruction, creating a pseudo-capsule from adjacent tissues of the joint...
January 2018: Journal of Orthopaedic Surgery
https://www.readbyqxmd.com/read/29507030/delayed-diagnosis-of-chronic-postoperative-sternal-infection-a-rare-case-of-sternal-tuberculosis
#15
Victoria Rizzo, Yousuf Salmasi, Michael Hunter, Pushpinder Sidhu
Sternal osteomyelitis secondary to mycobacterium tuberculosis (TB) is rare, with <1% of musculoskeletal TB cases reported. The recurrent scenario is unresolving infection and delayed diagnosis. A 75-year-old woman presented with a persistently discharging sternal wound 10 months after coronary artery bypass grafting. Multiple antibiotics, wound debridement and removal of sternal wires was attempted; however, progression to local osteomyelitis and sternoclavicular joint destruction occurred. Tissue biopsies were finally sent for mycobacterial culture testing positive for Mycobacterium tuberculosis High index of suspicion is necessary for diagnosis of sternal tuberculosis, confirmed through timely microbiological investigations...
March 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29507023/-kingella-kingae-sternoclavicular-osteoarthritis
#16
Sérgio Alves, Lúcia Rodrigues, Mafalda Santos, Diana Moreira
Sternoclavicular arthritis is an unusual osteoarticular infection and can be associated with severe complications. Cases in a paediatric population are infrequently reported, making this approach challenging. Kingella kingae is an agent of increasing recognition in paediatric invasive infections, principally below 2 years of age. A case of K. kingae osteoarthritis in a 17-month-old child is described with a review of the literature.
March 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29507017/metastatic-mssa-infection-of-the-spine-and-extremities
#17
Yoshihiro Katsuura, Brandon Cincere, Garrick Cason, James Osborn
Here, we present a rare case of metastatic methicillin sensitive Staphylococcus aureus (MSSA) infection arising from an unknown focus and spreading throughout the lumbar spine with associated pyomyositis of the paraspinal musculature, and septic arthritis of the knee, ankle and sternoclavicular joint. This case highlights the potential for missed aspects and delay in diagnosis in the care of metastatic S. aureus and the need for multispecialty intervention. Treatment of S. aureus infections requires a high index of suspicion and careful examination of multiple organ systems to identify the full extent of the disease...
March 5, 2018: BMJ Case Reports
https://www.readbyqxmd.com/read/29489405/imaging-patterns-of-injuries-after-the-2015-amtrak-philadelphia-train-derailment
#18
Anup K Bhattacharya, Sarah Fenerty, Omer A Awan, Beverly Hershey, Gary Cohen, Padmaja Jonnalagadda, Stephen Ling, Sayed Ali
OBJECTIVE: The purpose of this article is to describe the injury patterns observed in the 2015 Philadelphia Amtrak train derailment. CONCLUSION: Fractures accounted for most observed injuries, but uncommon and potentially serious injuries included posterior sternoclavicular dislocation and mesenteric contusion. Imaging plays a critical role in the triage of patients during mass-casualty events, and familiarity with the injury patterns associated with high-velocity unrestrained blunt force trauma will aid diagnosis in any future similar occurrence...
May 2018: AJR. American Journal of Roentgenology
https://www.readbyqxmd.com/read/29466828/nerve-conduction-study-of-the-three-supraclavicular-nerve-branches
#19
Carmen Martinez-Aparicio, Satu K Jääskeläinen, José M Muyor, Björn Falck
INTRODUCTION: We describe a new nerve conduction study technique with reference values for the 3 branches of the supraclavicular nerve (SCN) in young healthy subjects and application of it in 2 patients. METHODS: The recording electrode was placed on the posterior border of the sternocleidomastoid muscle, 6-7 cm from the sternoclavicular joint. SCN branches were stimulated below the clavicle, 2.5, 7, and 10.5 cm lateral to the sternoclavicular joint. RESULTS: Twenty healthy volunteers (10 men), 19-38 years, mean 25...
February 21, 2018: Muscle & Nerve
https://www.readbyqxmd.com/read/29420759/non-modifiable-risk-factors-associated-with-sternoclavicular-joint-dislocations-in-the-u-s-military
#20
Baris Gun, Robert Dean, Beatrice Go, Catherine Richardson, Brian R Waterman
INTRODUCTION: Sternoclavicular joint (SCJ) dislocations, although uncommon, are observed in patients with ligamentous laxity as well as those who experience traumatic injuries. The incidence and epidemiology of this costly and debilitating injury to our relatively young and active military population have not previously been reported. The purpose of this study is to consider and quantify the non-modifiable risk factors associated with this injury. METHODS: Using Defense Medical Epidemiological Database, first-time occurrences, from 2006 to 2015 for the ICD-9-CM code 839...
February 6, 2018: Military Medicine
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