Unilateral sternocostoclavicular hyperostosis in a patient with ankylosing spondylitis: A case report with color Doppler ultrasonogram findings

Mondal, Sumantro; Sinha, Debanjali; Nag, Arijit; Ghosh, Alakendu

doi:10.4103/0971-3026.120280

Cited by 3 publications

(2 citation statements)

References 12 publications

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“…In systemic arthritis, osteoarthritis is the most frequent cause of pain and swelling of the SCJ [8]. A strong association has been found between seronegative spondyloarthropathy and SCJ involvement [10]. Traditionally, spondyloarthritis has been differently classified in adults and children.…”

Section: Introductionmentioning

confidence: 99%

Successful treatment in a child with enthesitis-related arthritis involving the sternoclavicular joint: a case report

et al. 2019

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BackgroundAlthough the sternoclavicular joint (SCJ) may be involved in ankylosing spondylitis, rheumatic arthritis, and Behçet’s disease and participates in the systemic inflammatory process of arthritis, it is often neglected during routine rheumatologic clinical examinations. To the best of our knowledge, this is the first study to report etanercept treatment in juvenile idiopathic arthritis (JIA) with SCJ involvement.Case presentationIn this study, we describe an unusual case of a child with juvenile idiopathic arthritis with an initial presentation of sternoclavicular mass. The patient (age, 14 years 10 months) presented with an insidious onset atraumatic swelling of the left SCJ and complained of right hip and bilateral ankle tenderness without an apparent cause. Initial ultrasonography indicated a heterogeneous mass in the left SCJ, while computed tomography identified mild swelling of the left SCJ with a thickened synovial lining, mild bone erosion, and some turbid fluid. The patient ultimately underwent left SCJ arthrotomy, during which tapping of the SCJ revealed 2 cc of yellowish fluid, inflammation and necrosis of tissues within the SCJ. A clear yellow joint fluid was aspirated, and testing revealed a negative culture result. The patient was diagnosed with JIA. The joint tenderness improved and erythrocyte sedimentation rate decreased after administering anti-tumor necrosis factor etanercept. An additional ultrasonography demonstrated that the initial imaging findings have been resolved. At the end of a 2-year follow-up period, the patient was completely symptom-free.ConclusionsJIA with SCJ involvement is an uncommon presentation in adolescents. Etanercept may be a beneficial treatment for SCJ involvement in patients with JIA. The upper limbs showed no signs of limited range of motion during the follow-up period. Further studies are warranted to elucidate the efficacy of etanercept in JIA with sternoclavicular joint involvement.

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Section: Introductionmentioning

confidence: 99%

Successful treatment in a child with enthesitis-related arthritis involving the sternoclavicular joint: a case report

et al. 2019

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“…USG findings of uncommon rheumatologic conditions like sterno clavicular joint osteoarthritis, sterno clavicular joint hyperostosis, and eosinophilic fasciitis have also been published recently. 44,45 USG features of sterno clavicular joint osteoarthritis, sterno clavicular joint hyperostosis have been illustrated in Fig. 5.…”

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confidence: 99%

Ultrasound in musculoskeletal disorder – A new horizon in rheumatology

Mondal

Ghosh

2015

Indian Journal of Rheumatology

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a b s t r a c tEarly detection of rheumatological diseases is an important step in prevention of permanent damage and deformities. Conventional radiography has traditionally been used as a diagnostic tool in rheumatology but is incapable to detect early changes in the periarticular tissues and bones. MRI has gained undoubted superiority for detection of soft tissue pathologies and early bony inflammatory changes but its widespread use is restricted by multiple factors. Ultrasonography (USG) is a promising tool for bridging this gap. Though the use of USG in the field of Rheumatology is almost three decades old, recent advancement in technology has made it an attractive imaging tool for early detection various musculoskeletal disorders. The utility of USG is not only limited to the detection of synovitis but has expanded to detect various extra skeletal manifestations of rheumatological diseases. Absence of radiation hazards, reasonable cost, and widespread availability are the added advantages of USG. In this article the promising role of USG in musculoskeletal diseases has been reviewed.

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The Ultrasound Perspective for Sternoclavicular Joint in Spondyloarthritis

Fang,

Li,

Yang

et al. 2024

J of Ultrasound Medicine

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Spondyloarthritis (SpA) is a prevalent genetic disorder that significantly impairs mobility, particularly in the spine, sacroiliac, and peripheral joints. Recent evidence highlights early involvement of the sternoclavicular joint in SpA, which may serve as an initial indicator. Diagnosis often relies on CT and MRI, neglecting ultrasound's potential in identifying SpA‐related sternoclavicular arthritis. This review focuses on the joint's anatomy, exploring ultrasound's diagnostic and therapeutic role in SpA‐related sternoclavicular arthritis, aiming to provide insights for future ultrasound applications in SpA management.

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Unilateral sternocostoclavicular hyperostosis in a patient with ankylosing spondylitis: A case report with color Doppler ultrasonogram findings

Cited by 3 publications

References 12 publications

Successful treatment in a child with enthesitis-related arthritis involving the sternoclavicular joint: a case report

Successful treatment in a child with enthesitis-related arthritis involving the sternoclavicular joint: a case report

Ultrasound in musculoskeletal disorder – A new horizon in rheumatology

The Ultrasound Perspective for Sternoclavicular Joint in Spondyloarthritis

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