Dislocation of the manubriosternal joint in rheumatoid arthritis

Wiseman, M. J.

doi:10.1136/ard.40.3.307

Cited by 8 publications

(3 citation statements)

References 2 publications

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“…Some morphological characteristics, such as kyphosis of the thoracic spine and joint alterations in patients with rheumatoid arthritis, predispose to manubriosternal luxation 7 , 8 , 9 . Around 40%-70% of patients with rheumatoid arthritis may present this type of joint lesion due to weakening of the joint, chronic increase of thoracic kyphosis and consequent increase in forces transmitted from the first rib to the manubrium.…”

Section: Discussionmentioning

confidence: 99%

Occult Manubriosternal Joint Injury Associated With Fracture of the Thoracic Spine

Herrero

Porto

Nogueira-Barbosa

et al. 2011

Revista Brasileira de Ortopedia (English Edition)

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The authors report the occurrence of an occult manubriosternal joint injury in the initial evaluation on a patient with a thoracic spine fracture (T9). This T9 fracture was diagnosed in a 37-year-old man and was associated with a partial neurological deficit. At the initial evaluation, the radiographs produced did not show the manubriosternal joint injury. During rehabilitation, after surgical stabilization of the thoracic spine fracture, the patient suddenly felt an intense pain accompanied by deformation at the sternal level. From imaging examinations, manubriosternal luxation was diagnosed. Because of recurrence of the luxation and the incapacitating pain, open reduction and fixation of the manubriosternal joint had to be performed. At the 12-month follow-up, the patient presented complete recovery of the neurological lesion, consolidation of the arthrodesis on the T7-T11 vertebral segment and maintenance of the reduction of the manubriosternal joint, which was asymptomatic during daily activities.

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Section: Discussionmentioning

confidence: 99%

Occult Manubriosternal Joint Injury Associated With Fracture of the Thoracic Spine

Herrero

Porto

Nogueira-Barbosa

et al. 2011

Revista Brasileira de Ortopedia (English Edition)

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“…They did not mention the exact symptoms of the patients with subluxation of the MSJ, and nothing was written about the patients’ desire for treatment of their symptoms, if this should be available. Rapoport et al (1979) , Holt and Rooney (1980) , Wiseman (1981) , Khong and Rooney (1982) , and Kelly et al (1986) described 12 RA patients in total with thoracic kyphosis and MSJ dislocation. In the patients they described, 11 had severe kyphosis—as in our patient.…”

Section: Discussionmentioning

confidence: 99%

Resection arthroplasty for luxation of the manubrio-sternal joint in rheumatoid arthritis—a case report

Schmitz¹,

Malefijt²,

Heereveld³

2010

Acta Orthopaedica

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“…Des Weiteren prädisponieren Verände-rungen im manubriosternalen Gelenk selbst zu einer Luxation. So finden sich in der Literatur 4 Berichte über eine manubriosternale Luxation bei Patienten mit rheumatoider Arthritis [11,13,17,25]. Da zwischen 40%-70% der Patienten mit rheumatoider Arthritis signifikante Veränderungen im Bereich des manubriosternalen Gelenkes aufweisen, sollte bei dieser Patientengruppe bei Schmerzen im Bereich der vorderen Thoraxwand nach Traumen differentialdiagnostisch an eine manubriosternale Luxation gedacht werden [15,18].…”

Section: Introductionunclassified

Manubriosternale Luxation durch indirektes Stauchungstrauma

Kälicke

Feil²,

Steuer³

et al. 2001

Der Unfallchirurg

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Manubriosternal dislocation caused by indirect flexion-compression trauma is an extremely rare condition. Two forms of manubriosternal luxation are distinguished: in type I the sternum is dislocated posterior and in type II anterior to the manubrium. Direct or indirect trauma may cause manubriosternal dislocation. Mode of injury in direct trauma is mostly a head-on collition in a motor accident resulting either in type I or type II luxation. The unusual origin of manubriosternal dislocation by indirect trauma is put down to flexion-compression injuries of the thoracic spine and results in a type II dislocation. Predisposition to manubriosternal dislocation by indirect trauma consists in rheumatoid arthritis or extreme forms of kyphosis. Outcome of many patients treated conservatively after initial reposition with adhesive tape, symptomatic pain therapy, cryotherapy and prohibition of any physical training over several weeks is subluxation or complete luxation of the manubriosternal joint. This condition may lead to chronic pain, periarticular calcification with ankylosis and progredient deformation. Lacking a controlled study for treatment of manubriosternal dislocation a standard therapeutic regime could not be established yet. In the literature only a few case-reports of patients undergoing operative therapy are published. We report a type II dislocation of the manubriosternal joint caused by indirect flexion-compression trauma. We achieved a very good long-term result using a 8-hole 1/3 tubular plate for fixation of the manubriosternal joint after reposition.

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Dislocation of the manubriosternal joint in rheumatoid arthritis

Cited by 8 publications

References 2 publications

Occult Manubriosternal Joint Injury Associated With Fracture of the Thoracic Spine

Occult Manubriosternal Joint Injury Associated With Fracture of the Thoracic Spine

Resection arthroplasty for luxation of the manubrio-sternal joint in rheumatoid arthritis—a case report

Manubriosternale Luxation durch indirektes Stauchungstrauma

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