High-resolution CT of the sternoclavicular joint and first costochondral synchondrosis in asymptomatic individuals

Maeseneer, Michel De; Lenchik, Leon; Buls, Nico; Boulet, Cedric; Döring, Seema; Mey, Johan De; Willekens, Inneke

doi:10.1007/s00256-016-2414-7

Cited by 5 publications

(9 citation statements)

References 15 publications

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“…However, the work done by De Maeseneer et al 11 revealed no significant difference between the joint distances of both SCJ. That study was performed retrospectively through carotid CT angiography images, where patients were kept in neutral position during image acquisition 11 . Additionally, that study reported that joint distance might show a slight decrease with aging, with degenerative signs showing an equal distribution on the sternal and clavicular surfaces.…”

Section: Discussionmentioning

confidence: 81%

“…In a study where SCJ distances were examined with CT it was reported that there may be an asymmetry up to 5.7 mm between both joints 10 . However, the work done by De Maeseneer et al 11 revealed no significant difference between the joint distances of both SCJ. That study was performed retrospectively through carotid CT angiography images, where patients were kept in neutral position during image acquisition 11 .…”

Section: Discussionmentioning

confidence: 81%

“…We, based on the work done by De Massener et al 11 and embryological evidence, think that SCJ distances are symmetrical in healthy adults. We believe that energy applied to chest wall due to trauma is absorbed by SCJ and costal cartilages, and if the incoming energy cannot be absorbed this will results in fractures and other signs of trauma.…”

Section: Discussionmentioning

confidence: 97%

“…The ligamentous part of the joint is formed by the anterior and posterior sternoclavicular ligaments, costoclavicular ligament, and interclavicular ligament 8,9 . The normal anatomic features and variations of SCJ were reported by studies where the joint was examined using Computed Tomography (CT) 10,11 .…”

Section: Introductionmentioning

confidence: 99%

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Widening of sternoclavicular joint distances in blunt chest trauma

Çakmak

Türkoğlu

Özen

et al. 2020

Cukurova Medical Journal

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Blunt chest trauma has high mortality and morbidity rates. The aim of this study was to evaluate the relationship between trauma findings and sternoclavicular joint (SCJ) distances in patients with blunt chest trauma. Materials and Methods: Between May 2019-September 2019, Thorax Computed Tomography (CT) images of 102 patients (78 males, 24 females, aged 19-88 years) with blunt chest trauma were evaluated retrospectively. Rib fractures, costal cartilage fractures and other signs of trauma were evaluated. SCJ distances were measured at the inferior, mid, and superior segments in the coronal reformatted CT images. Post-traumatic SCJ expansion was evaluated in patients with rib and costal cartilage fractures. Additionally, SCJ and the presence of other post-traumatic signs were compared. An inter-observer reliability analysis with Intraclass correlation coefficient (ICC) scores with 95% CIs were calculated. Results: In the presence of fractures of 1st to 4th ribs a statistically significant widening of superior and mid segments of the ipsilateral SCJs were detected. A 2-mm or greater difference of widening of the superior segment of the ipsilateral SCJ compared to the contralateral joint was found statistically significant for hemothorax, pneumothorax, and wall emphysema. The inter-observer agreement was excellent for the measurements of the SCJ on coronal plane, having an ICC score ranging from 0.921 to 0.961 (95% CI). Conclusion:The expansion of the ipsilateral SCJ distances in rib fractures in the upper part of the chest wall shows that SCJ performs an important role in the absorption of energy to the chest wall. Amaç: Bu çalışmanın amacı, künt göğüs travması olan hastalarda travma bulguları ile sternoklaviküler eklem (SKE) mesafeleri arasındaki ilişkiyi değerlendirmektir. Gereç ve Yöntem: Mayıs 2019 -Eylül 2019 tarihleri arasında künt göğüs travması olan 19-88 yaş arası 102 hastanın (78 erkek, 24 kadın) Toraks Bilgisayarlı tomografi (BT) görüntüleri retrospektif olarak değerlendirildi. Kosta kırığı, kostal kartilaj kırıkları ve diğer travma bulguları değerlendirildi. SKE mesafeleri, koronal reformat BT görüntülerinde alt, orta ve üst segmentlerde ölçüldü. Kostal ve kostal kartilaj kırıkları olan hastalarda travma sonrası SKE genişlemesi değerlendirildi. Ek olarak, SKE ve diğer travma sonrası bulguların varlığı karşılaştırıldı. Bulgular: 1-4. kosta kırığı varlığında, ipsilateral SKE'nin üst ve orta kesimlerinde istatistiksel olarak anlamlı bir genişleme saptandı. Hemotoraks, pnömotoraks ve duvar amfizemi için, ipsilateral SKE'nin üst kesimindeki 2 mm veya daha fazla genişlemesi kontralateral eklem ile karşılaştırıldığında istatistiksel olarak anlamlı bulundu. SKE'nin koronal düzlemde ölçümleri için gözlemciler arası uyum, 0.921 ile 0.961 (%95 CI) arasında değişen bir ICC skoru ile mükemmel olarak bulundu. Sonuç: Göğüs duvarının üst kısmındaki kaburga kırıklarında ipsilateral SKE mesafelerinin genişlemesi, SKE'nin travmada göğüs duvarına gelen enerjinin emiliminde önemli bir rol oynadığını göstermektedir.

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Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 81%

Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

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Widening of sternoclavicular joint distances in blunt chest trauma

Çakmak

Türkoğlu

Özen

et al. 2020

Cukurova Medical Journal

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“…A CT morphological description of the SCJ width was previously performed in healthy patients [ 29 , 30 , 31 ].…”

Section: Discussionmentioning

confidence: 99%

Morphologic Alterations of the Sternoclavicular Joint following Ipsilateral Clavicle Fractures

Jessen

Schnetzke²,

Studier-Fischer

et al. 2022

IJERPH

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Rationale: To our knowledge, no study has investigated concomitant injuries of the sternoclavicular joint (SCJ) in acute clavicle fractures. The purpose of this study was to determine the effect of an ipsilateral clavicle fracture on the SCJ in a systematic computer tomography (CT) morphologic evaluation. Methods: CT scans in the axial and coronal plane of 45 consecutive patients with clavicle fractures were retrospectively analyzed. The scans were assessed regarding anatomic congruence of bilateral SCJs—joint space width (JSW); the position of bilateral medial clavicles (PC); and the non-fusion of epiphyses, arthritis, calcifications, and intra-articular gas. Results: The mean SCJ JSW was significantly different in the coronal (cJSW; 8.70 mm ± 2.61 mm in affected vs. 7.63 mm ± 2.58 mm in non-affected side; p = 0.001) and axial plane (aJSW; 9.40 mm ± 2.76 mm in affected vs. 9.02 ± 2.99 in non-affected SCJs; p = 0.044). The position of the medial clavicle showed a significant difference in the coronal plane (cPC; 14.31 mm ± 3.66 mm in the affected vs. 13.49 ± 3.34 in the non-affected side; p = 0.011), indicating a superior shift. Conclusion: Acute clavicle fractures may be associated with an enlargement of the ipsilateral SCJ space width and a superior shift of the proximal clavicle. Both morphologic alterations could indicate concomitant injuries of the SCJ as well as a potential increase in the risk of SCJ instability.

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