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Sarita Seth, Hemant Gupta, Deepak Kumar, Rashmi Agarwal, Sumit Gupta, Hemant Mehra, Subodh Shankar Natu, Jasmeet Singh
Introduction: The temporo-mandibular joint (TMJ) is a complex anatomical structure that is concerned with mastication, deglutition, and speech. Ankylosis of the TMJ occurs when the condyle gets fused to glenoid fossa by bony or fibrous tissue. It is an incapacitating problem, commonly occurring in children and is usually associated with trauma or infection. Materials and Methods: A total of ten patients with written informed consent having TMJ ankylosis (unilateral/bilateral) fulfilling the inclusion criteria were selected for the study and were operated under general anaesthesia with arthrectomy followed by reconstruction of ramal condylar unit with SCG (Group I) or CCG (Group II)...
December 2019: Journal of Maxillofacial and Oral Surgery
Chao-Feng Li, Ya Song, Xiao-Tong Shi, Rilige Su, Jian-Guo Liu
No abstract text is available yet for this article.
September 25, 2019: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Nitin Gupta, Ritu Verma, Ethel Shangne Belho
Synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome is a rare clinical entity involving musculoskeletal and dermatologic systems. Its main features are prominent inflammatory cutaneous and articular manifestations. Anterior chest wall pain, more commonly at sternoclavicular and sternocostal joints, along with palmoplantar pustulosis and acne can point to this uncommon syndrome. Here, we report a case of a 15-year-old female, who presented with swelling at the anterior chest wall, was referred for the bone scan...
October 2019: Indian Journal of Nuclear Medicine: IJNM: the Official Journal of the Society of Nuclear Medicine, India
Alexandre Semionov, John Kosiuk, Amr Ajlan, Federico Discepola
Identification of certain abnormalities of the chest wall can be extremely helpful in correctly diagnosing a number of syndromic conditions and systemic diseases. Additionally, chest wall abnormalities may sometimes constitute diagnoses by themselves. In the present pictorial essay, we review a number of such conditions and provide illustrative cases that were retrospectively identified from our clinical imaging database. These include pentalogy of Cantrell, Klippel-Feil syndrome, cleidocranial dysplasia, Poland syndrome, osteopetrosis, neurofibromatosis type 1, Marfan syndrome, Gardner syndrome, systemic sclerosis, relapsing polychondritis, polymyositis/dermatomyositis, ankylosing spondylitis, hyperparathyroidism, rickets, sickle cell anemia, thalassemia, tuberculosis, septic arthritis of the sternoclavicular joint, elastofibroma dorsi, and sternal dehiscence...
October 2019: Korean Journal of Radiology: Official Journal of the Korean Radiological Society
M Krtička, M Petráš
Superior Shoulder Suspensory Complex (SSSC) is a bone and soft-tissue ring securing the connection of the upper extremity to the axial skeleton via the clavicle and sternoclavicular joint. An isolated injury to one component of SSSC is usually stable. An injury to 2 of its components is a potential source of shoulder girdle instability and requires surgical stabilisation. An injury affecting 3 and more components is extremely rare and surgical stabilisation should be indicated. Our study presents the case of a 50-year-old man who fell off the bicycle and sustained a direct blow to his left shoulder resulting in an ipsilateral fracture of the coracoid and acromion process combined with the fracture of the distal end of the clavicle...
2019: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Jude Opoku-Agyeman, David Matera, Jamee Simone
OBJECTIVES: The pectoralis major flap has been considered the workhorse flap for chest and sternoclavicular defect reconstruction. There have been many configurations of the pectoralis major flap reported in the literature for use in reconstruction sternoclavicular defects either involving bone, soft tissue elements, or both. This study reviews the different configurations of the pectoralis major flap for sternoclavicular defect reconstruction and provides the first ever classification for these techniques...
September 13, 2019: BMC Surgery
Kazutaka Horiuchi, Syunsuke Nakata, Satsuki Komoda, Takeshi Yuasa
The patient was 72-year-old man, who had old myocardial infarction, diabetes mellitus, dyslipidemia, hypertension and chronic obstructive pulmonary disease. He was complicated with congestive heart failure, and multi-vessel coronary artery disease and moderate aortic valve stenosis and regurgitation were diagnosed. We performed coronary artery bypass grafting(CABG) and aortic valve replacement. Intraoperative findings showed severe adhesions and tissue fibrosis around sternum. It was very difficult to dissect adhesions around left internal thoracic artery (LITA)...
September 2019: Kyobu Geka. the Japanese Journal of Thoracic Surgery
Joaquim Soares do Brito, Samuel Martins, Pedro Fernandes
OBJECTIVE: We present a sternoclavicular dislocation as a non-reported complication after spinal kyphotic deformity surgical correction. BACKGROUND: The sternocostal complex seems to have an important role in the pathology of Scheuermann's kyphotic deformity. A role for the sternoclavicular complex has never been reported in association with Scheuermann's disease pathology but could explain anterior sternoclavicular dislocation after spinal kyphotic deformity correction...
September 5, 2019: European Spine Journal
R D K Yeak, P Hussin, Y Y Yap, N M Nizlan
Sternoclavicular joint infection is rare. While it is usually treated surgically, we wish to report a case of non-operative treatment of such infection caused by an atypical organism. A 51-year-old woman, known case of diabetes mellitus, hypertension, dyslipidaemia and hyperthyroidism presented with pain over the left upper chest for two weeks associated with redness and fever for one week. The patient was diagnosed to have left sternoclavicular joint septic arthritis with medial end left clavicular osteomyelitis, left sternocleidomastoid, left anterior chest wall abscesses and left lower lobe posterior basal segment cavitating lung lesion with a single nodule in the lingular segment...
May 2019: Il Giornale di Chirurgia
Abderrahim Doudouh, Yassir Benameur, Salah Nabih Oueriagli, Omar Ait Sahel, Abdelhamid Biyi
We report an interesting image of a 49-year-old woman revealed with Tietze's syndrome (TS) by ¹⁸F-FDG PET/CT. She presented with right upper sternum pain with a hard and fixed palpable mass. Chest radiograph and CT-Scanner revealed no abnormalities. PET/CT-FDG showed a hypermetabolic activity around right sternoclavicular joint, which was the correct symptomatic lesion. Hence, FDG PET/CT may be useful for diagnosing TS and to accurately detect the symptomatic lesion.
2019: Nuclear Medicine Review. Central & Eastern Europe
Yang Li, Erji Gao, Yi Yang, Zongli Gao
No abstract text is available yet for this article.
July 2019: Journal of Thoracic Disease
Jatin Prakash, Atul Sareen, Priyanka Arora, Rajesh Kumar Chopra
INTRODUCTION: Sternoclavicular joint tuberculosis is rare and has been presented in literature with few sporadic case reports or small case series. Rarity of the condition, nonspecific symptoms, difficulty to visualise the area on X-rays, and minimal clinical signs make diagnosis of sternoclavicular tuberculosis extremely difficult. Delay in diagnosis is therefore the common feature of all presented reports in literature. We here present our experience of treating 19 cases of sternoclavicular tuberculosis at our centre...
August 26, 2019: International Orthopaedics
Apostolos Vrettos, Maria Prasinou, Ehtasham Ahmad, Dionyssios Malamis, Abdul Khan
A 34 year-old lady was referred for rheumatology review by the orthopaedic team for further investigation of chronic left sternoclavicular joint pain. No preceding event such as trauma, injury or infection had occurred. A rheumatology workup turned out to be negative for an inflammatory arthropathy. After extensive investigations including blood tests, an MRI scan, a CT scan, and a bone scan, and in consultation with the orthopaedic team, the affected joint was biopsied and tested for mycobacterium avium-intracellulare infection...
July 2019: Indian Journal of Tuberculosis
Guozhong Wu, Shoubo Chen, Sanfu Lin, Wenhuai Wang
Objective: To investigate effectiveness of allogeneic tendon of "W" type knit in repair of traumatic anterior dislocation of sternoclavicular joint. Methods: Between June 2013 and June 2017, 12 patients with traumatic anterior dislocation of sternoclavicular joint after poor conservative treatment were treated with allogeneic tendon of "W" type knit. Of them, 10 were males and 2 were females, aged from 25 to 58 years (mean, 42 years). All injuries were caused by traffic accidents...
August 15, 2019: Chinese Journal of Reparative and Reconstructive Surgery
Chaiwat Chuaychoosakoon, Porames Suwanno, Tanarat Boonriong, Sitthiphong Suwannaphisit, Prapakorn Klabklay, Wachirapan Parinyakhup, Korakot Maliwankul, Yada Duangnumsawang, Boonsin Tangtrakulwanich
BACKGROUND: Fixation of clavicle shaft fractures with a plate and screws can endanger the neurovascular structures if proper care is not taken. Although prior studies have looked at the risk of clavicular plates and screws (for example, length and positions) to vulnerable neurovascular structures (such as the subclavian vein, subclavian artery, and brachial plexus) in the supine position, no studies to our knowledge have compared these distances in the beach chair position. QUESTIONS/PURPOSES: (1) In superior and anteroinferior plating of midclavicle fractures, which screw tips in a typical clavicular plating approach place the neurovascular structures at risk of injury? (2) How does patient positioning (supine or beach chair) affect the distance between the screws and the neurovascular structures? METHODS: The clavicles of 15 fresh-frozen cadavers were dissected...
July 31, 2019: Clinical Orthopaedics and related Research
Victoria K Shanmugam, Marc Phillpotts, Timothy Brady, Monica Dalal, Shawn Haji-Momenian, Esma Akin, Kavita Nataranjan, Sean McNish, Donald S Karcher
Background: Concurrent presentation of retinal vasculitis with mixed sclerotic and lytic bone lesions is rare. Case presentation: We present the case of a 37-year old woman with a several year history of episodic sternoclavicular pain who presented for rheumatologic evaluation due to a recent diagnosis of retinal vasculitis. We review the differential diagnosis of retinal vasculitis, along with the differential diagnosis of mixed sclerotic and lytic bone lesions...
2019: BMC rheumatology
Young-Rock Jang, Taeeun Kim, Min-Chul Kim, Heung Sup Sung, Mi-Na Kim, Min Jae Kim, Sung Han Kim, Sang-Oh Lee, Sang-Ho Choi, Jun Hee Woo, Yang Soo Kim, Yong Pil Chong
Background: Aggressive surgery such as en bloc joint resection is favored for treating uncommon sternoclavicular (SC) septic arthritis, based on expert opinion and small case series. We analyzed the clinical characteristics and treatment outcomes of patients with Staphylococcus aureus SC septic arthritis treated medically or with limited surgery. Methods: All adult patients with this septic arthritis at the Asan Medical Center between September 2009 and December 2016 were reviewed. Limited surgery was defined as simple incision, drainage, and debridement of the infected joint...
September 2019: Infectious Diseases
Robin Moreels, Lieven De Wilde, Alexander Van Tongel
BACKGROUND: Atraumatic sternoclavicular dislocation (ASCD) is an uncommon pathology that is mainly diagnosed in young adults. The aim of this study is to better describe the clinical picture of ASCD and to describe the results of a "wait-and-see" policy in these patients. METHODS: All patients with ASCD who visited our department between 2011 and 2016 were retrospectively analyzed. A standardized clinical examination was used to evaluate the clinical picture...
July 23, 2019: Journal of Shoulder and Elbow Surgery
Cesar Flores-Hernandez, Ilan Eskinazi, Heinz R Hoenecke, Darryl D D'Lima
Hypothesis: Musculoskeletal computer models provide valuable insights into shoulder biomechanics. The shoulder is a complex joint composed of glenohumeral, scapulothoracic, acromioclavicular, and sternoclavicular articulations, whose function is largely dependent on the many muscles spanning these joints. However, the range of patient-to-patient variability in shoulder function is largely unknown. We therefore assessed the sensitivity of glenohumeral forces to population-based model input parameters that were likely to influence shoulder function...
July 2019: JSES Open Access
Liam A Peebles, Zachary S Aman, Fletcher R Preuss, Brian T Samuelsen, Tyler J Zajac, Ravi B Patel, Matthew T Provencher
Chronic instability of the sternoclavicular (SC) joint is a challenging clinical problem, particularly in a patient population for which nonoperative forms of treatment prove ineffective. Patients present after experiencing recurrent subluxation events and subsequent pain, which commonly result in increasing functional limitation. Recurrent SC joint instability of this nature can lead to damage of the SC joint cartilage and bone, and in cases of posterior subluxation or dislocation, damage to mediastinal structures...
June 2019: Arthroscopy Techniques
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