Sternoclavicular tuberculosis: an atypical imitator of refractory shoulder pain

Prakash, Jai; Sareen, Atul; Arora, Priyanka; Chopra, Rajesh

doi:10.1007/s00264-019-04400-3

Cited by 10 publications

(10 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Various authors noted a considerable delay before a diagnosis could be made in such conditions which are attributed to the slow insidious pathologic process [19,20]. Factors that contribute to such delays are mainly its rarity of presentation in such unusual sites with its ability to mimic other diseases combined with the lack of suspicion by the treating clinician, especially in non-endemic areas.…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Intra-articular Osteochondroma of the Femoral Neck: A Case Report

Hammad¹,

Saleh²,

Aburumman³

et al. 2021

JOCR

View full text Add to dashboard Cite

Introduction: The osteochondroma (OC) is considered a benign tumor with long bone preference. It presents usually at the metaphyseal part of the bone, with rare cases of intra-articular origins especially in the hip joint. The presentation of such rare cases varies according to its site and mass effect, which may compress the adjacent nerves, tendon, or vascular structures. The femoral neck OC carries a higher risk of femoral head vascular injury and necrosis, as well as sciatic nerve injury, which requires careful preoperative planning and intraoperative cautions. We report a rare case of intra-articular OC in the hip. Case Report: A 28-year-old male, presented to our hospital, with complaints of right-side gluteal pain, decrease hip joint extension, and feeling of a hard mass for 2 years. The radiographic evaluation showed an osseous mass related posterior and inferior to the right femur neck, with cortical and medullary continuation, and cartilaginous cap on the magnetic resonance image. The suspicious was OC, and planned for excision and histopathological evaluation. The excision was done through lateral hip approach, and it was intra-articular with marked stretching of the joint capsule. Complete excision was done, as close as possible to the femoral neck cortex using saw and osteotomes, followed by prophylactic fixation using two cannulated screws. The histopathology reports confirm the diagnoses, and the patient started on hip range of motion and abductor strengthening exercises. Over a 4-month follow-up period the patient showed significant improvement in his hip range of motion. Conclusion: The intra articular OC of the hip is as rare presentation of the OC, which carries the risks of avascular necrosis as well as nerve compression. Clinical suspicion, proper planning, and histopathological evaluation are needed for better results. Keywords: Hip joint, intra-articular tumor, osteochondroma.

show abstract

Section: Discussionmentioning

confidence: 99%

A Rare Case of Intra-articular Osteochondroma of the Femoral Neck: A Case Report

Hammad¹,

Saleh²,

Aburumman³

et al. 2021

JOCR

View full text Add to dashboard Cite

show abstract

“…Prakash et al advised an early MRI in patients with tenderness or swelling of 3 weeks duration in their series. 3 They also noted favourable outcomes with treatment when the ATT was started early (<8 weeks).…”

Section: Descriptionmentioning

confidence: 97%

“…1 2 This rarity, accompanied by non-specific symptoms, minimal clinical signs, and complexity in interpreting the X-rays, causes many cases to be missed. 3 Misdiagnosis leads to the impediment of proper treatment, further complicating the situation. We describe a case of SCJ TB that was drained, suspecting a pyogenic abscess.…”

Section: Descriptionmentioning

confidence: 99%

See 1 more Smart Citation

Misdiagnosed sternoclavicular tuberculosis presenting as a non-healing ulcer

et al. 2021

View full text Add to dashboard Cite

“…Jain, and Dr. S. Rajasekaran to name a few have been instrumental in letting the world know about spinal, osteoarticular tuberculosis, and its sequela. In this edition, Prakash and colleagues [4] describe their experience with rare form of sternoclavicular tuberculosis which can masquerade as refractory shoulder pain. High index of suspicion is required for a prompt diagnosis followed by anti-tuberculous therapy for desired results.…”

Section: Osteoarticular Tuberculosismentioning

confidence: 99%