DOI QR코드

DOI QR Code

Fluoroscopy-guided intra-articular steroid injection for sternoclavicular joint arthritis secondary to limited cutaneous systemic sclerosis: a case report

  • Sencan, Savas (Department of Algology, Kayseri Training and Research Hospital) ;
  • Guler, Emel (Division of Algology, Department of Physical Medicine and Rehabilitation, Erciyes University, School of Medicine) ;
  • Cuce, Isa (Department of Physical Medicine and Rehabilitation, Kayseri Training and Research Hospital) ;
  • Erol, Kemal (Division of Rheumatology, Department of Physical Medicine and Rehabilitation, Erciyes University, School of Medicine)
  • 투고 : 2016.08.08
  • 심사 : 2016.10.12
  • 발행 : 2017.01.01

초록

We report a case of fluoroscopy-guided intraarticular steroid injection for sternoclavicular joint (SCJ) arthritis caused by limited cutaneous systemic sclerosis (SSc). A 50-year-old woman diagnosed with limited cutaneous SSc presented with swelling and pain in the right SCJ. MRI revealed signs of inflammation consistent with right-sided sternoclavicular joint arthritis. After the failure of oral medications, we performed fluoroscopy-guided injection in this region. She reported complete resolution of her symptoms at 4 and 12-week follow-ups. This outcome suggests that a fluoroscopy-guided SCJ injection might be a safe and successful treatment option for sternoclavicular joint arthritis.

키워드

참고문헌

  1. Merlino G, Germano S, Carlucci S. Surgical management of digital calcinosis in CREST syndrome. Aesthetic Plast Surg 2013; 37: 1214-9. https://doi.org/10.1007/s00266-013-0224-z
  2. Velayos EE, Masi AT, Stevens MB, Shulman LE. The 'CREST' syndrome. Comparison with systemic sclerosis (scleroderma). Arch Intern Med 1979; 139: 1240-4. https://doi.org/10.1001/archinte.1979.03630480030012
  3. Elhai M, Meunier M, Matucci-Cerinic M, Maurer B, Riemekasten G, Leturcq T, et al. Outcomes of patients with systemic sclerosis-associated polyarthritis and myopathy treated with tocilizumab or abatacept: a EUSTAR observational study. Ann Rheum Dis 2013; 72: 1217-20. https://doi.org/10.1136/annrheumdis-2012-202657
  4. Joines MM, Motamedi K, Seeger LL, DiFiori JP. Musculoskeletal interventional ultrasound. Semin Musculoskelet Radiol 2007; 11: 192-8. https://doi.org/10.1055/s-2007-1001883
  5. Hassett G, Barnsley L. Pain referral from the sternoclavicular joint: a study in normal volunteers. Rheumatology (Oxford) 2001; 40: 859-62. https://doi.org/10.1093/rheumatology/40.8.859
  6. Galla R, Basava V, Conermann T, Kabazie AJ. Sternoclavicular steroid injection for treatment of pain in a patient with Osteitis condensans of the clavicle. Pain Physician 2009; 12: 987-90.
  7. Peterson CK, Saupe N, Buck F, Pfirrmann CW, Zanetti M, Hodler J. CT-guided sternoclavicular joint injections: description of the procedure, reliability of imaging diagnosis, and short-term patient responses. AJR Am J Roentgenol 2010; 195: W435-9. https://doi.org/10.2214/AJR.10.4501
  8. Jeon YH. Easier and safer regional anesthesia and peripheral nerve block under ultrasound guidance. Korean J Pain 2016; 29: 1-2. https://doi.org/10.3344/kjp.2016.29.1.1

피인용 문헌

  1. Pain and Its Management in Systemic Sclerosis vol.4, pp.3, 2017, https://doi.org/10.1007/s40674-018-0104-4
  2. Inflammatory arthritis in systemic sclerosis: What to do? vol.4, pp.1, 2019, https://doi.org/10.1177/2397198318779532
  3. US-guided Musculoskeletal Interventions of the Body Wall and Core with MRI and US Correlation vol.41, pp.7, 2021, https://doi.org/10.1148/rg.2021210050