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sternoclavicular joint

S L Huang, B Zhang, L S Chen, L Liang, X N Luo, Z M Lu, S Y Zhang
Objective: To report rare cases of congenital neck cutaneous sinus with an orifice near the sternoclavicular joint and to investigate their origins and managements. Methods: A total of ten patients with congenital neck cutaneous sinus having an orifice near the sternoclavicular joint treated in the Guangdong General Hospital from January 2010 to June 2015 were retrospectively analyzed. Results: There four boys and six girls, aging from 11 months to 96 months with an average of 33.4 months, and they had a common feature showing a congenital cutaneous sinus with an orifice near sternoclavicular joint...
October 7, 2016: Zhonghua Er Bi Yan Hou Tou Jing Wai Ke za Zhi, Chinese Journal of Otorhinolaryngology Head and Neck Surgery
Tom Wilhelm, Thomas Winkens, Almut Kunze, Martin Freesmeyer
A 65-year-old woman presented with increased human thyroglobulin (3.3 ng/mL) 5 years after resection of a papillary thyroid carcinoma and successful I radioiodine therapy. I whole-body scintigraphy showed a small focus ventrally in the right lower neck, leading to suspicion of a papillary thyroid carcinoma recurrence. I-PET/CT and real-time PET/US fusion matched to a small hypoechoic/anechoic ovoid structure situated between the right sternoclavicular joint and the brachiocephalic trunk. After surgical resection, histology allowed a diagnosis of thymic cyst...
October 5, 2016: Clinical Nuclear Medicine
Mehr Z Qureshi, John T Gorczyca, Adam J Doyle, Mark L Gestring
No abstract text is available yet for this article.
October 12, 2016: Surgery
Oren I Feder, Konrad I Gruson
Septic arthritis of the shoulder girdle remains relatively uncommon, with Staphylococcus aureus and β-hemolytic streptococci the typical offending organisms in adult patients. Rare cases of Streptococcus viridans, an oral bacterium with low virulence, have been reported in the setting of septic arthritis, mostly involving the knee joint or the sternoclavicular joint. In this article, we report a case of Streptococcus mitis infection of the glenohumeral joint that likely resulted from hematogenous spread after oral trauma in a patient with poor underlying dentition...
September 2016: American Journal of Orthopedics
B Lakshmi Divya, P Narasimha Rao
SAPHO syndrome (synovitis, acne, pustulosis, hyperostosis, osteitis), a rare inflammatory disorder, is an association of distinct skin disorders with pustules with osteoarticular inflammation. Its etiology remains unclear, and various treatment regimens frequently fail to control the disease. An 18-year-old male patient presented to the outpatient department with severe nodulocystic acne on the face with pain at both the wrists and lower back associated with high-grade fever and chills. On physical examination, he had severe tenderness at both wrist joints and lower back, along with swelling of right wrist...
September 2016: Indian Dermatology Online Journal
J Christoph Katthagen, Dimitri S Tahal, Travis J Menge, Marilee P Horan, Peter J Millett
HYPOTHESIS: The aim of this study was to assess the effect of open resection arthroplasty for osteoarthritis of the sternoclavicular (SC) joint on pain levels, functional outcomes, and return to sport. METHODS: Patients from a single surgeon's practice who underwent open resection arthroplasty (maximum 10-mm resection) for SC osteoarthritis or prearthritic changes between November 2006 and November 2013 were retrospectively reviewed. This was an outcomes study with prospectively collected data...
October 7, 2016: Journal of Shoulder and Elbow Surgery
Na Duan, Xiao Chen, Yongkang Liu, Jianhua Wang, Zhongqiu Wang
Synovitis, acne, palmoplantar pustulosis, hyperostosis and osteitis syndrome (SAPHO) is a rare syndrome that affects the skin, bones and joints. Diagnosis of SAPHO syndrome is established on clinical appearance and imaging features. The present case report described the imaging features of three cases of SAPHO with sternoclavicular joint arthritis but without skin manifestations using multiple imaging modalities, including computed tomography (CT), magnetic resonance imaging (MRI) and bone scintigraphy. The first case was a 52-year-old male who suffered from progressive sternoclavicular arthritis for 2 years...
October 2016: Experimental and Therapeutic Medicine
Laila Mahir, Siham Zahi, Soumia Meftah, Herman Azanmasso, Fatima Lmidmani, Abdellatif El Fatimi
OBJECTIVE: Introduction: the sternoclavicular joint is very stable due to a strong ligamentous system, disjunctions are rare. Their diagnosis is difficult. Plain radiography does not allow a proper analysis and use of CT scans is necessary. They can be life-threatening in their posterior variety due to the proximity of the noble elements of the mediastinum. OBJECTIVE: The aim of this study is to describe the evolution of the sternoclavicular disjunction after functional rehabilitation through 6 observations...
September 2016: Annals of Physical and Rehabilitation Medicine
G D Harper, S B Gunther, D H Sonnabend
OBJECTIVES: Stabilization of the glenohumeral joint to relieve pain and to improve function in instances of muscle paralysis secondary to plexus palsy, destruction of the joint with massive bone loss and large irreparable cuff tears. INDICATIONS: Paralysis of the rotator cuff or deltoid muscles secondary to brachial plexus lesions or polio. Severe joint degeneration following infection. Massive irreparable cuff tears. Failed arthroplasty. Severe rheumatoid disease...
September 1999: Operative Orthopädie und Traumatologie
Adam M Pourcho, Sean W Colio, Mederic M Hall
Chronic and acute shoulder pain and dysfunction are common complaints among patients. Shoulder pain may be the result of abnormality involving the rotator cuff, subacromial-subdeltoid bursa, biceps tendon, glenoid labrum, glenohumeral joint, acromioclavicular joint, sternoclavicular joint, or glenohumeral joint capsule. Ultrasound-guided (USG) procedures of the shoulder are well established for interventional management. Ultrasound provides the advantages of excellent soft tissue resolution, injection accuracy, low cost, accessibility, portability, lack of ionizing radiation, and the ability to perform real-time image-guided procedures...
August 2016: Physical Medicine and Rehabilitation Clinics of North America
Bijnya Birajita Panda, Sucheta Parija, Jyotiranjan Mallick, Susanta Pujahari
Acquired oculomotor nerve palsy has varied aetiologies like vascular (diabetes, heart disease, atherosclerosis and posterior communicating artery aneurysm), space occupying lesions or tumours, inflammation, infection, trauma, demyelinating disease like Multiple sclerosis, autoimmune disorders such as Myasthenia gravis, postoperatively as a complication of neurosurgery, cavernous sinus thrombosis etc. Cranial Nerve palsies as one of the first symptoms of multiple myeloma have been reported sparsely in literature...
May 2016: Journal of Clinical and Diagnostic Research: JCDR
Lokadolalu Chandracharya Prasanna, Huban R Thomas, Aswin Das, Rakesh Kumar
Persistent Left-side Superior Vena Cava (PLSVC) is the congenital central venous anomaly draining into the right atrium in 82-90% of cases via coronary sinus produce no haemodynamically significant consequences. In few cases it may drain into the left atrium directly or through the pulmonary veins resulting in right to left shunt. During routine undergraduate dissection, we found a PLSVC formed by the union of left subclavian and left internal jugular veins behind the left sternoclavicular joint was terminated into the right atrium through a larger coronary sinus ostium...
May 2016: Journal of Clinical and Diagnostic Research: JCDR
Jacqueline L Hislop-Jambrich, John M Troupis, Afshin Kamali Moaveni
Recurrent symptomatic sternoclavicular (SC) joint instability is rare and most commonly occurs following high-energy trauma or in patients with generalized ligamentous laxity. We report an unusual case of an atraumatic posterior subluxation of the SC joint, leading to a feeling of choking. The posterior subluxation, which occurred during shoulder motion and in supine body position, was demonstrated using a dynamic wide-volume 4-dimensional computed tomography scan. Based on continuing patient symptoms and imaging findings, surgical stabilization of the SC joint was undertaken...
July 2016: Journal of Computer Assisted Tomography
Christopher R Lawrence, Benjamin East, Abbas Rashid, Graham M Tytherleigh-Strong
BACKGROUND: Symptomatic disorders around the sternoclavicular joint (SCJ) are relatively uncommon. Previous cadaveric and radiographic studies have suggested that asymptomatic osteoarthritic changes are relatively common, progressively increasing with age. The purpose of this study was to determine the prevalence of SCJ osteoarthritis in the general population using computed tomography (CT) scans. METHODS: We assessed 464 SCJs in 232 patients undergoing a standardized axial CT scan of the thorax including both SCJs, across a range of ages from the second to tenth decade...
July 13, 2016: Journal of Shoulder and Elbow Surgery
Michel De Maeseneer, Leon Lenchik, Nico Buls, Cedric Boulet, Seema Döring, Johan de Mey, Inneke Willekens
OBJECTIVE: To assess CT features of the sternoclavicular joint (SCJ) and first costochondral junction in asymptomatic patients. MATERIALS AND METHODS: In 66 patients transverse and coronal oblique high-resolution multiple detector CT images of the SCJ and first costochondral junction were obtained. Images were reviewed by consensus of two radiologists. Joint space width was measured at three levels, and osteophytes, geodes, and erosions were evaluated. Variants and degree of ossification were noted...
September 2016: Skeletal Radiology
Leila Khorashadi, Erica M Burns, Daniel R Heaston, Winston J Warme, Michael L Richardson
Posterior dislocation of the sternoclavicular joint is a rare but serious and life-threatening injury. Case reports describing injury to mediastinal structures including the trachea, esophagus, and the great vessels from posterior displacement of the medial clavicle (1, 2, 3, 4, 5, 6) have been discussed in the literature. It is important that radiologists are aware of the limitation of plain radiographs in detecting posterior SCJ dislocation and and that they carefully evaluate the soft tissues with CT imaging to exclude mediastinal injury...
2011: Radiology case reports
Wan Jin Hwang, Yeiwon Lee, Yoo Sang Yoon, Young Jin Kim, Han Young Ryu
A 22-year-old man was hospitalized with a sternoclavicular joint (SCJ) dislocation caused by a traffic accident. Surgical reduction and fixation of the SCJ were performed using a T-plate. SCJ dislocation is rare, accounting for less than 1% of all dislocations, and is usually treated conservatively, although severe cases may require surgery. Surgery typically involves joint reduction and fixation using an autologous tendon graft, but this has disadvantages such as the requirement for additional surgery to obtain autologous tissue and an extended operative time...
June 2016: Korean Journal of Thoracic and Cardiovascular Surgery
Julien Garnon, Guillaume Koch, Jean Caudrelier, Nitin Ramamurthy, Pramod Rao, Georgia Tsoumakidou, Roberto Luigi Cazzato, Afshin Gangi
OBJECTIVE: This study was designed to describe the technique of percutaneous image-guided cryoablation with large-volume hydrodissection for the treatment of challenging mediastinal lesions. METHODS: Between March 2014 and June 2015, three patients (mean age 62.7 years) with four neoplastic anterior mediastinal lesions underwent five cryoablation procedures using large-volume hydrodissection. Procedures were performed under general anaesthesia using CT guidance...
June 6, 2016: Cardiovascular and Interventional Radiology
Frank Verhoeven, Mickaël Chouk, Daniel Wendling
No abstract text is available yet for this article.
June 2016: Journal of Rheumatology
Emmanouil Angelakis, Simon-Djamel Thiberville, Matthieu Million, Didier Raoult
BACKGROUND: Few cases of Q fever osteoarticular infection have been reported, with chronic osteomyelitis as the most common manifestation of Q fever osteoarticular infection. Here we present the case of a sternoclavicular joint infection caused by Coxiella burnetii and localized by positron emission tomography scanning. CASE PRESENTATION: A 67-year-old French man from south France was hospitalized for fever and confusion. An examination revealed subclavicular and axillary lymph node enlargement...
2016: Journal of Medical Case Reports
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