• Clinics in Shoulder and Elbow
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• 제17권4호
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• pp.205-208
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• 2014

Sternoclavicular joint posterior dislocations are considered a very uncommon, and type of injury where if esophagus or airway injury occurs behind the clavicle, it poses a high risk to the patient. In addition, if epiphyseal fracture occurs as a result of the sternoclavicular joint posterior dislocation, surgical treatment is often required. However, in the absence of a complete ossification of the clavicle, it is difficult to differentiate between a simple dislocation and epiphyseal fracture-dislocation solely based on simple radiographs or computed tomography scans. In this case report, the authors present a case in which a sternoclavicular joint posterior dislocation was diagnosed in a 14-year-old male athlete. The case report discusses how the posterior dislocation without epiphyseal fracture was diagnosed using an ultrasound and subsequently treated with successful outcomes using manual reduction. The case report presents our findings along with discussion that includes a literature review of relevant research.

• The Korean Journal of Pain
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• 제30권1호
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• pp.59-61
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• 2017

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.

• 척추신경추나의학회지
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• 제2권1호
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• pp.77-84
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• 2007

Objectives : This report is to investigate clinical effects of Chuna treatment on anterior translation of sternoclavicular joint. Methods : The female Patient, 50 years old, had anterior translation of sternoclavicular joint and the local pain. We treated the patient with Chuna treatment. In order to evaluate the improvement, Degrees of pain were measured with Visual Analogue Scale(VAS), and the change of anterior translation was assessed with anterior height of clavicle head. Results : After 3 weeks treatment, In VAS, Degrees of pain decreased 10 to 2. and Anterior height of clavicle head decreased 15mm to 5mm. Conclusions : Chuna treatment is effective on treating anterior translation of sternoclavicular joint and the local pain.

• 대한두개안면성형외과학회지
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• 제15권1호
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• pp.40-42
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• 2014

Ganglion cysts are most common on the dorsum of the hand or wrist, but they can occur in any part of the body. There have been few papers reporting ganglion cysts originating from the sternoclavicular joint, with most of these cases developing in children. A 76-year-old woman was referred to our department because of a painless mass over the right sternoclavicular joint. The mass was excised along with the portion of the sternoclavicular joint capsule surrounding the stalk. Histopathologic examination showed the cyst wall to be composed of compressed collagen fibers without evidence of an epithelial or synovial lining, which was consistent with ganglion cyst. To our knowledge, this is the first report of such a cyst in an adult. We consider this to be a useful report for surgeons that treat mass lesions occurring in almost any part of the body surface.

• Clinics in Shoulder and Elbow
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• 제9권2호
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• pp.242-245
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• 2006

Infection on sternoclavicular joint after electrical burn is rare. No case was reported previously in Korea. Even though the disease is rare, we treated the case successfully with intravenous antibiotics followed by curettage and drainage. Successful treatment was achieved in the case of infection on sternoclavicular joint after electrical burn.

• 대한정형외과학회지
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• 제56권1호
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• pp.76-81
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• 2021

흉쇄관절의 외상성 탈구는 드문 손상으로 전방 탈구가 후방 탈구에 비하여 흔하다. 후방 탈구는 종격동 구조물을 압박하여 잠재적 위험성이 있다고 잘 알려져 있지만 전방 탈구는 그러한 위험성에 대한 고려가 없었다. 전방 탈구라도 흉골 골절의 전방 각형성과 동반된 경우에 후방 탈구와 마찬가지로 종격동 압박이 발생 가능하며 그로인한 위험성이 있다. 본 저자들은 종격동 압박 증상이 있는 흉골 골절과 동반된 외상성 흉쇄관절 전방 탈구에 대하여 금속판을 이용해 수술적 치료를 시행하였고 비교적 양호한 결과를 얻었다. 이는 국내외에서 매우 드물게 보고되는 사례로 이를 문헌고찰과 함께 보고하고자 한다.

• Journal of Chest Surgery
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• 제41권6호
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• pp.799-802
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• 2008

흉쇄골관절은 전신의 골관절염 중 매우 드물게 이환되는 부위로 주로 마약 중독자, 당뇨병, 만성 신부전, 폐혈증 환자, 및 중심 정맥 혈관 삽입 후에 주로 나타난다. 초기에는 항생제 치료, 단순 절제 및 배농술 등의 방법으로 치유될 수 있으나, 치료 시기를 놓치면 골수염으로 진행되어 광범위 절제가 필요하다. 그러나 재발할 가능성이 있으므로, 본원 흉부외과에서는 혈류를 유지한 대흉근판을 빈공간에 메워 넣어 재발 가능성을 줄여보고자 하였다. 골수염을 동반한 흉쇄골 관절염 환자를 성공적으로 치료하였기에 이에 보고하는 바이다.

• PNF and Movement
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• 제3권1호
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• pp.47-53
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• 2005

Purpose : To describes the important aspects of scapular movement and function used when applying PNF technique to the upper limb and scapular. Method : The scapular was a very important roles in the upper limb movement. This study summarizes the physiologic movement of scapular to the PNF upper extremity patterns or scapular patterns. Result : The shoulder joint has the most freedom of range of motion in the human body, composed of the glenohumeral joint, the subacromial joint, the acromioclavical joint, the sternoclavicular joint, the scapulothoracic joint, the costosternal joint, and the costovertebral joint. During upper limb movement, the scapular position change at the sternoclavicular joint and the acromioclavical joint. This concerted motion was characterized by scapulohumeral rhythm. In clinical situations, it is import to understand factors affect the scapulohumeral rhythm so that optimal evaluation and therapeutic intervention can be devised. Conclusions : The scapular movement depend on the proper and coordinated contraction of muscles. Physical therapists need to understand the normal scapular movement relationships of the scapulohumeral rhythm under different interventions for PNF techniques application.

• Clinics in Shoulder and Elbow
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• 제11권1호
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• pp.57-61
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• 2008

흉쇄 관절의 결핵성 관절염은 매우 드문 질환으로 임상 증상이 뚜렷하지 않기 때문에 진단이 늦어지는 경우가 많다. 흉쇄 관절 부위의 점진적으로 진행하는 동통이나 종창, 미열이 있으면서 결핵의 과거력이 있는 경우에 결핵성 관절염을 의심해야 하고 혈액 검사, 방사선 검사, 조직 검사를 통한 조기 진단이 중요하다. 흉쇄 관절 결핵 관절염의 경우 1년 이상의 항결핵제 투여가 필요하며 증상의 호전이 없거나 증상이 진행되어 흉쇄 관절의 관절 파괴 소견이 보이는 경우 수술적 치료가 필요하게 되는데 수술적 치료 시 흉쇄 관절의 늑쇄골 인대의 손상을 최소화하면서 과도한 변연 절제술로 인해 흉쇄 관절의 주위의 종격동, 늑막 등의 중요 구조물이 손상되는 것을 피해야 한다. 저자들은 경험한 2예의 흉쇄 관절 결핵 관절염에서 변연 절제술로 증상의 호전을 가져온 1예와 변연 절제술 후 종격동 농양, 삼출성 늑막염 등의 합병증이 발생된 1예를 함께 보고하고자 한다.

• Journal of Chest Surgery
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• 제49권3호
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• pp.221-223
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• 2016

A 22-year-old man was hospitalized with a sternoclavicular joint (SCJ) dislocation caused by a traffic accident. Surgical reduction and fixation of the SCJ were performed using a T-plate. SCJ dislocation is rare, accounting for less than 1% of all dislocations, and is usually treated conservatively, although severe cases may require surgery. Surgery typically involves joint reduction and fixation using an autologous tendon graft, but this has disadvantages such as the requirement for additional surgery to obtain autologous tissue and an extended operative time. To overcome these issues, here, we performed a simple SCJ reduction and fixation using a T-plate and achieved good results.