The sternoclavicular syndrome: experience from a district general hospital and results of a national postal survey

Kalke, Siddharth Vijay; Perera, Sudheesha; Patel, Nishant; Gordon, T.; Dasgupta, Balendu

doi:10.1093/rheumatology/40.2.170

Cited by 43 publications

(46 citation statements)

References 24 publications

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“…SCCH is largely underdiagnosed due to a low level of awareness for the disorder, and therefore it may be more common than currently believed. 3 SCCH is a disorder of midlife, with a slight female predilection. 10 The condition is bilateral in most patients.…”

Section: Discussionmentioning

confidence: 99%

“…The spine, sacroiliac joints, and peripheral joints may also be affected. 3 No specific diagnostic test for SCCH is available; the clinical diagnosis is based on pattern recognition and exclusion. It is important to differentiate this entity from the seronegative spondyloarthropathies, infectious osteomyelitis, bone metastasis, and condensing osteitis of the clavicle.…”

Section: Discussionmentioning

confidence: 99%

“…12 The common clinical picture is one of relapsing and remitting pain in the shoulder, neck, and anterior chest wall area with occasional swelling and tenderness of the sternoclavicular area. 3 Computed tomography (CT) has the ability to detect sclerotic bone trabeculae not obvious on plain radiographs. 13 Whole-body bone scintigraphy typically demonstrates increased radiotracer activity in the sternal manubrium and in the adjacent clavicles and ribs; a distinctive finding known as the "bullhead" sign.…”

Section: Discussionmentioning

confidence: 99%

“…2 The exact incidence of SCCH is unknown, as many cases go undiagnosed. 3 Over the last two decades, there have been several reports in which intravenous bisphosphonates and tumor necrosis factor (TNF)-inhibitors have shown reasonable efficacy in the treatment of this disorder. [4][5][6][7][8][9] Here, we report the clinical, laboratory, and radiologic data of a patient with treatment-refractory SCCH.…”

Section: S Ternocostoclavicular Hyperostosis (Scch) Is a Rarementioning

confidence: 99%

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Treatment-Refractory Sternocostoclavicular Hyperostosis

2017

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: S Ternocostoclavicular Hyperostosis (Scch) Is a Rarementioning

confidence: 99%

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Treatment-Refractory Sternocostoclavicular Hyperostosis

2017

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“…Other common differentials diagnoses for musculoskeletalrelated chest pain include thoracic spine pain, costovertebral joint pain, costochondritis, costosternal syndrome, sternalis syndrome, Tietze syndrome, rib-tip syndrome, and xiphoidalgia. [24][25][26][27][28][29][30] Musculoskeletal chest pain originates from the bony and soft tissue structures of the chest wall. 11 Functionally, the chest wall is a complex system that provides rigid protection to the vital organs and stability to the arm and shoulder, and offers flexibility to aid in respiration.…”

Section: Location Of Painmentioning

confidence: 99%

Presentation of Coronary Artery Disease in a Chiropractic Clinic: A Report of 2 Cases

Larson¹

2016

Journal of Chiropractic Medicine

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Objective: The purpose of this report is to describe 2 patients with coronary artery disease presenting with musculoskeletal symptoms to a chiropractic clinic. Clinical Features: A 48-year-old male new patient had thoracic spine pain aggravated by physical exertion. A 61-year-old man under routine care for low back pain experienced a secondary complaint of acute chest pain during a reevaluation. Intervention and Outcome: In both cases, the patients were strongly encouraged to consult their medical physician and were subsequently diagnosed with coronary artery disease. Following their diagnoses, each patient underwent surgical angioplasty procedures with stenting. Conclusion: Patients may present for chiropractic care with what appears to be musculoskeletal chest pain when the pain may be generating from coronary artery disease necessitating medical and possibly emergency care.

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Diagnostic delay in sternocostoclavicular hyperostosis: Impact on various aspects of quality of life

Kloot¹,

Chotkan²,

Kaptein³

et al. 2010

Arthritis Care & Research

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Objective. Sternocostoclavicular hyperostosis (SCCH) is a rare, debilitating, chronic inflammatory disorder of the anterior chest wall due to a chronic sterile osteomyelitis of unknown origin, often associated with characteristic skin lesions of palms and soles: pustulosis palmoplantaris. SCCH goes often unrecognized for years before the diagnosis is established and treatment instituted. The objective of this study was to trace the diagnostic paths of patients with SCCH and to investigate the consequences associated with diagnostic delay. Methods. Data were collected through structured interviews of 52 patients with a clinically, scintigraphically, and radiologically established diagnosis of SCCH. Results. The majority of patients presented with swelling and/or pain in the sternocostoclavicular region and/or limited movement of the shoulder girdle. Pustulosis palmoplantaris was present in ϳ30% of patients. The disease went unrecognized for a median of 3.5 years. Patients were often seen by at least 3 members of the medical profession before the diagnosis was suspected and eventually established. Lack of recognition of the clinical manifestations of the disease and delay in diagnosis were associated with important physical, psychological, and socioeconomic consequences affecting quality of life. Conclusion. SCCH remains an ill-recognized disease despite its characteristic clinical features. A low level of awareness of the disorder leads to a delay in diagnosis, which has a significant impact on various aspects of quality of life. Awareness should be raised for this disorder, enabling timely diagnosis and initiation of treatment to prevent the irreversible physical and psychological sequelae associated with the protracted untreated state.

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The sternoclavicular syndrome: experience from a district general hospital and results of a national postal survey

Cited by 43 publications

References 24 publications

Treatment-Refractory Sternocostoclavicular Hyperostosis

Treatment-Refractory Sternocostoclavicular Hyperostosis

Presentation of Coronary Artery Disease in a Chiropractic Clinic: A Report of 2 Cases

Diagnostic delay in sternocostoclavicular hyperostosis: Impact on various aspects of quality of life

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