Symptomatic manubriosternal joint involvement in rheumatoid arthritis.

Doube, A; Clarke, Antony

doi:10.1136/ard.48.6.516

Cited by 10 publications

(6 citation statements)

References 3 publications

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“…This probably accounts to the involvement of the MSJ in systemic diseases such as rheumatoid arthritis (RA), OA, ankylosing spondylitis, gout, and psoriatic arthritis. In RA, for example, the MSJ is commonly involved, but it rarely gives rise to symptoms [3]. On the other hand, it was reported that up to 32% of patients with OA had what was described as major radiological changes affecting the MSJ, but there were no reports as to how many of these were symptomatic [4].…”

Section: Discussionmentioning

confidence: 98%

Arthrodesis for osteoarthritis of the manubriosternal joint

Al-Dahiri

Pallister

2006

European Journal of Cardio-Thoracic Surgery

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Osteoarthritis of the manubriosternal joint is rare. The diagnosis is not easy to make, and more serious causes of chest pain have to be ruled out first. We report one case that was treated with arthrodesis of the manubriosternal joint using double locking screw compression plating (LCP) with excellent results. Pre-operative CT-scan images with 3D reconstruction were used to measure the screw length and the drill stop depth. In this case report, we have shown that arthrodesis can be an effective way of treating osteoarthritis of the manubriosternal joint, when other measures fail. Furthermore, the use of a locking compression plate with appropriate and careful pre-operative planning affords a safe surgical technique, rapid pain relief and ultimately sound and asymptomatic union of the joint.

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Section: Discussionmentioning

confidence: 98%

Arthrodesis for osteoarthritis of the manubriosternal joint

Al-Dahiri

Pallister

2006

European Journal of Cardio-Thoracic Surgery

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“…Cavitation in the disc is a common phenomenon (30%); therefore, although this joint may degenerate like a synovial joint, this joint remains a symphysis [ 1 ]. It is more commonly involved in inflammatory arthritides, including rheumatoid arthritis (RA) and gouty, psoriatic arthritis among others [ 2 ]. The symphysis at the MSJ limits anteroposterior displacement and allows only a small range of angulatory movement between longitudinal axes of the body of the sternum and manubrium.…”

Section: Discussionmentioning

confidence: 99%

“…The symphysis at the MSJ limits anteroposterior displacement and allows only a small range of angulatory movement between longitudinal axes of the body of the sternum and manubrium. Hence, arthrits of the MSJ rarely gives rise to symptoms [ 2 ].…”

Section: Discussionmentioning

confidence: 99%

Osteoarthritis of the Manubriosternal Joint: An Uncommon Cause of Chest Pain

Vaishya

Vijay

Bibek

2015

Cureus

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Osteoarthritis of the manubriosternal joint is a rare cause of chest pain. The diagnosis is difficult, and other serious causes of chest pain have to be ruled out first. We report one case that was treated with fusion of the manubriosternal joint using an iliac crest bone graft with a cervical locking plate and screws with excellent results. Preoperative CT scan images were used to measure the screw length and the drill stop depth. In this case report, we have shown that arthrodesis can be an effective way of treating osteoarthritis of the manubriosternal joint when other measures fail. Furthermore, the use of a cervical locking plate with appropriate and careful preoperative planning affords a safe surgical technique, rapid pain relief, and ultimately, sound and asymptomatic union of the joint.

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“…The fi ndings of rheumatoid arthritis (RA) overlap those of osteoarthritis, including erosion, subchondral cysts, sclerosis, and ankylosis; but the changes are more frequent and severe. 8 Although symptomatic manubriosternal involvement due to RA is uncommon, 9 patients with RA and no anterior chest wall symptoms have abnormal imaging fi ndings (Fig. 6).…”

Section: Infl Ammatory Arthritidesmentioning

confidence: 97%

Manubriosternal joint: imaging features of normal anatomy and arthritis

Ehara

2010

Jpn J Radiol

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Normal findings of the manubriosternal joint vary and include narrowing, irregularity, and ankylosis. Proliferative changes are common during the degenerative process, and they include osteophyte formation and sclerosis. Ankylosis may be an end result. Imaging features of inflammatory arthritides are also generally nonspecific. Bone marrow and adjacent soft tissue change on magnetic resonance imaging with no radiographic findings is a relatively early change. Only erosion and fluffy adjacent bone resorption on plain radiography and computed tomography are specific features of active arthritis.

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Symptomatic manubriosternal joint involvement in rheumatoid arthritis.

Cited by 10 publications

References 3 publications

Arthrodesis for osteoarthritis of the manubriosternal joint

Arthrodesis for osteoarthritis of the manubriosternal joint

Osteoarthritis of the Manubriosternal Joint: An Uncommon Cause of Chest Pain

Manubriosternal joint: imaging features of normal anatomy and arthritis

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