• Title/Summary/Keyword: sternoclavicular joint

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Ultrasonography in Sternoclavicular Joint Posterior Dislocation in an Adolescent - A Case Report

  • Noh, Young Min;Jeon, Seung Hyub;Yoon, Hyung Moon
    • Clinics in Shoulder and Elbow
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    • v.17 no.4
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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.

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

  • Sencan, Savas;Guler, Emel;Cuce, Isa;Erol, Kemal
    • The Korean Journal of Pain
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    • v.30 no.1
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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.

Anterior Translation of Sternoclavicular Joint Chuna Treatment: A Case Report (흉쇄관절 전방변위 추나치료 1례)

  • Ryu, Heon-Sik;Yoon, Chang-Joon;Park, Dong-Soo;Lee, Soo-Keel
    • The Journal of Churna Manual Medicine for Spine and Nerves
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    • v.2 no.1
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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.

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Ganglion Cyst of the Sternoclavicular Joint in an Adult

  • Kim, Nam Gyun;Lim, Yun Sub;Choi, Jae Hoon;Kim, Jun Sik;Lee, Kyung Suk
    • Archives of Craniofacial Surgery
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    • v.15 no.1
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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.

Infection on Sternoclavicular Joint in Electrical Burn - Case Report - (전기화상 환자에서 발생한 흉쇄관절의 감염 - 증례 보고 -)

  • Rha, Jong-Deuk;Jang, Young-Soo;Park, Hyun-Soo;Jung, Tae-Won;Jin, Hyun-Bae;Kim, Kyung-Hoon;Lee, Byung-Hoon
    • Clinics in Shoulder and Elbow
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    • v.9 no.2
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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.

Treatment of Traumatic Sternoclavicular Joint Anterior Dislocation with a Sternal Fracture (흉골 골절과 동반된 외상성 흉쇄관절 전방 탈구의 치료)

  • Choi, Sung;Shin, Dong-Ju;Hwang, Seong-Mun
    • Journal of the Korean Orthopaedic Association
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    • v.56 no.1
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    • pp.76-81
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    • 2021
  • A traumatic dislocation of the sternoclavicular joint is a rare injury, and among them, anterior dislocation is more common than a posterior dislocation. Posterior dislocation is a potential risk by compressing the mediastinal structures, but an anterior dislocation has not been considered a risk. Traumatic sternoclavicular joint anterior dislocation associated with anterior angulation of a sternal fracture can develop mediastinal compression and have a risk in the same way as a posterior dislocation. This case report is about a traumatic sternoclavicular joint anterior dislocation with a sternal fracture accompanied by mediastinal compression that was treated surgically using a plate and showed relatively good clinical results. This rare case is reported along with a review of the relevant literature.

Pectoral Advancement Flap for the Treatment of Sternoclavicular Joint Infection (대흉근판 전이술을 이용한 흉쇄골 관절염의 치료)

  • Bae, Chi-Hoon;Park, Ki-Sung
    • Journal of Chest Surgery
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    • v.41 no.6
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    • pp.799-802
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    • 2008
  • Infection occurs very rarely in the sternoclavicular joint compared to other joints in the body. It occurs mainly in IV drug abusers, diabetics, chronic renal failure patients, septic patients and those with central vein catheters. In the early phase, it can be treated simply by antibiotics or incision, and drainage. However, when proper treatment is not begun. early, bone destruction can occur, and only en-bloc resection of the involved bone can cure it. To reduce the risk of recurrence, we advanced a pectoralis major flap into the resected area based on the feeding artery. We report a case of a patient with sternoclavicular osteomyelitis who was successfully treated using en-bloc resection and a pectoral advancement flap.

Proprioceptive Neuromuscular Facilitation and Scapular Movement (고유수용성 신경근 촉진법과 견갑골 움직임)

  • Kim, Jae-hun
    • PNF and Movement
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    • v.3 no.1
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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.

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Operative Treatment of the Tuberculous Arthritis on the Sternoclavicular Joint - A Report of Two Cases- (흉쇄 관절에 발생된 결핵성 관절염의 수술적 치료 - 2예 보고 -)

  • Park, Jin-Young;Kim, Jeong-Woo;Chun, Churl-Hong;Kwon, Seok-Hyun;Choi, Yun-Hong;Lee, Seok-Jung
    • Clinics in Shoulder and Elbow
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    • v.11 no.1
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    • pp.57-61
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    • 2008
  • Tuberculous arthritis on the sternoclavicular joint is an uncommon disease and a delayed diagnosis can be due to the obscure clinical symptoms. We should suspect tuberculous arthritis in patients with slowly progressive pain, swelling, mild fever and a previous history of tuberculosis. Early diagnosis is important through conducting a thorough physical examination and performing laboratory tests and radiologic study. Tuberculous arthritis on the sternoclavicular joint should be treated with a combination of systemic antituberculous agents and thorough surgical debridement in marked damaged joints. When performing this operation, it is important not only to minimized the injury of the costoclavicular ligament, but also to avoid injury to the surrounding the vital structures such as the mediastinum and pleura after aggressive resection or radical debridement. We describe here 2 cases of the tuberculous arthritis on the sternoclavicular joint: one case had a good result after surgical debridement with using an anti-tuberculous agent, and the other had fatal complications such as mediastinal abscess and pleural effusion after the operation.

Surgical Treatment of Sternoclavicular Joint Dislocation Using a T-plate

  • Hwang, Wan Jin;Lee, Yeiwon;Yoon, Yoo Sang;Kim, Young Jin;Ryu, Han Young
    • Journal of Chest Surgery
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    • v.49 no.3
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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.