Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis

Injury to the sternocostal synchondrosis of the first rib is quite rare. We report one such case in a 50-year-old man with nonunion of the first sternocostal synchondrosis accompanied by synovitis of the sternoclavicular joint. He first underwent arthroscopic surgery of the left sternoclavicular joi...

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Autores principales: Takeuchi, Makoto, Goto, Tomohiro, Yukata, Kiminori, Suzue, Naoto, Hamada, Daisuke, Nishisho, Toshihiko, Tonogai, Ichiro, Matsuura, Tetsuya, Sairyo, Koichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2014
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4164510/
https://www.ncbi.nlm.nih.gov/pubmed/25254128
http://dx.doi.org/10.1155/2014/798329
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author Takeuchi, Makoto
Goto, Tomohiro
Yukata, Kiminori
Suzue, Naoto
Hamada, Daisuke
Nishisho, Toshihiko
Tonogai, Ichiro
Matsuura, Tetsuya
Sairyo, Koichi
author_facet Takeuchi, Makoto
Goto, Tomohiro
Yukata, Kiminori
Suzue, Naoto
Hamada, Daisuke
Nishisho, Toshihiko
Tonogai, Ichiro
Matsuura, Tetsuya
Sairyo, Koichi
author_sort Takeuchi, Makoto
collection PubMed
description Injury to the sternocostal synchondrosis of the first rib is quite rare. We report one such case in a 50-year-old man with nonunion of the first sternocostal synchondrosis accompanied by synovitis of the sternoclavicular joint. He first underwent arthroscopic surgery of the left sternoclavicular joint. Postoperatively, the patient's symptoms decreased by half, but another pain and crepitus at the inferior lateral portion of the sternoclavicular joint developed. Since MRI and functional CT reexaminations revealed nonunion of the first sternocostal synchondrosis, resection arthroplasty of the first sternocostal joint was performed. This resulted in immediate resolution of the symptoms. At 2-year follow-up, his symptoms disappeared entirely with no limited range of motion of the shoulder.
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spelling pubmed-41645102014-09-24 Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis Takeuchi, Makoto Goto, Tomohiro Yukata, Kiminori Suzue, Naoto Hamada, Daisuke Nishisho, Toshihiko Tonogai, Ichiro Matsuura, Tetsuya Sairyo, Koichi Case Rep Orthop Case Report Injury to the sternocostal synchondrosis of the first rib is quite rare. We report one such case in a 50-year-old man with nonunion of the first sternocostal synchondrosis accompanied by synovitis of the sternoclavicular joint. He first underwent arthroscopic surgery of the left sternoclavicular joint. Postoperatively, the patient's symptoms decreased by half, but another pain and crepitus at the inferior lateral portion of the sternoclavicular joint developed. Since MRI and functional CT reexaminations revealed nonunion of the first sternocostal synchondrosis, resection arthroplasty of the first sternocostal joint was performed. This resulted in immediate resolution of the symptoms. At 2-year follow-up, his symptoms disappeared entirely with no limited range of motion of the shoulder. Hindawi Publishing Corporation 2014 2014-08-28 /pmc/articles/PMC4164510/ /pubmed/25254128 http://dx.doi.org/10.1155/2014/798329 Text en Copyright © 2014 Makoto Takeuchi et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Takeuchi, Makoto
Goto, Tomohiro
Yukata, Kiminori
Suzue, Naoto
Hamada, Daisuke
Nishisho, Toshihiko
Tonogai, Ichiro
Matsuura, Tetsuya
Sairyo, Koichi
Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
title Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
title_full Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
title_fullStr Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
title_full_unstemmed Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
title_short Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
title_sort nonunion of the first sternocostal synchondrosis accompanied by sternoclavicular joint synovitis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4164510/
https://www.ncbi.nlm.nih.gov/pubmed/25254128
http://dx.doi.org/10.1155/2014/798329
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