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Case Report: Sternoclavicular Erosions in a Patient with Uncontrolled RA

Diana M. Girnita, MD, PhD, Avis Ware, MD, Sangita Kapur, MD, & Christine Chhakchhuak, MD  |  Issue: December 2015  |  December 17, 2015


Diana M. Girnita, MD, PhD, is a rheumatology fellow at the University of Cincinnati, in the Department of Immunology, Allergy and Rheumatology.

Avis Ware, MD, is an associate professor of medicine at the University of Cincinnati, in the Department of Immunology, Allergy and Rheumatology. She is board certified in rheumatology and internal medicine.

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Sangita Kapur, MD, is an assistant professor at the University of Cincinnati in the Department of Radiology. She is board certified in diagnostic radiology.

Christine Chhakchhuak, MD, is an assistant professor at the University of Cincinnati, in the Department of Immunology, Allergy and Rheumatology. She is board certified in rheumatology and internal medicine.

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References

  1. Dilsen N, McEwen C, Poppel M, et al. A comparative roentgenologic study of rheumatoid arthritis and rheumatoid (ankylosing) spondylitis. Arthritis Rheum. 1962 Aug;5:341–368.
  2. Robinson CM, Jenkins PJ, Markham PE, et al. Disorders of the sternoclavicular joint. J Bone Joint Surg Br. 2008 Jun;90(6):685–696. doi:10.1302/0301-620X.90B6.20391.
  3. Saibaba B, Meena UK, Behera P, et al. Multicentric spinal tuberculosis with sternoclavicular joint involvement: A rare presentation. Case Rep Pulmonol. 2014;2014:685406. doi:10.1155/2014/685406.
  4. Sallés M, Olivé A, Perez-Andres R, et al. The SAPHO syndrome: A clinical and imaging study. Clin Rheumatol. 2011 Feb;30(2):245–249. doi:10.1007/s10067-010-1560-x.
  5. Ibrahimi A El, Daoudi A, Boujraf S, et al. Sternoclavicular septic arthritis in a previously healthy patient: A case report and review of the literature. Int J Infect Dis IJID Off Publ Int Soc Infect Dis. 2009 May;13(3):e119–e121. doi:10.1016/j.ijid.2008.07.024.
  6. Silberberg M, Frank EL, Jarrett SR, et al. Aging and osteoarthritis of the human sternoclavicular joint. Am J Pathol. 1959 Jul–Aug;35(4):851–865.
  7. Jurik AG. Anterior chest wall involvement in seronegative arthritides. A study of the frequency of changes at radiography. Rheumatol Int. 1992;12(1):7–11.
  8. Guglielmi G, Cascavilla A, Scalzo G, et al. Imaging of sternocostoclavicular joint in spondyloarthropaties and other rheumatic conditions. Clin Exp Rheumatol. 2009 May–Jun;27(3):402–408.
  9. Celikyay F, Yuksekkaya R, Inanir A, et al. Multidetector computed tomography findings of the sternoclavicular joint in patients with rheumatoid arthritis. Clin Imaging. 2013 Nov–Dec;37(6):1104–1108. doi:10.1016/j.clinimag. 2013.06.006.
  10. Sant GR, Dias E. Primary gout affecting the sternoclavicular joint. Br Med J. 1976 Jan;1(6004):262.
  11. Baker H, Golding DN, Thompson M. Psoriasis and arthritis. Br Med J. 1963 Dec;2(5371):1527.
  12. Gehani N, Ludin A, Baskin JZ. Sternoclavicular osteoradionecrosis following treatment for head and neck cancer. Am J Otolaryngol. 2013 Nov–Dec;34(6):731–734. doi:10.1016/j.amjoto. 2013.08.012.
  13. Teplick JG, Eftekhari F, Haskin ME. Erosion of the sternal ends of the clavicles. A new sign of primary and secondary hyperparathyroidism. Radiology. 1974 Nov;113(2):323–326. doi:10.1148/113.2.323.
  14. Mozen PH, Zell SC. Sternoclavicular bacterial arthritis. West J Med. 1988 Mar;148(3):310–312.
  15. Kalliomäki JL, Viitanen SM, Virtama P. Radiological findings of sternoclavicular joints in rheumatoid arthritis. Acta Rheumatol Scand. 1968;14(3):233–240.
  16. Kumar Digge V, Meena S, Khan SA, et al. Spontaneous atraumatic dislocation of sternoclavicular joint in Reiter syndrome. Chin J Traumatol Zhonghua Chuang Shang Za Zhi Chin Med Assoc. 2012;15(4):251–253.
  17. Taccari E, Spadaro A, Riccieri V, et al. Sternoclavicular joint disease in psoriatic arthritis. Ann Rheum Dis. 1992 Mar;51(3):372–374.
  18. Good AE. The chest pain of ankylosing spondylitis. Its place in the differential diagnosis of heart pain. Ann Intern Med. 1963 Jun;58:926–937.
  19. Vermaat M, De Schepper AM, Bloem JL. Sternocostoclavicular hyperostosis in SAPHO-syndrome. JBR-BTR Organe Société R Belge Radiol SRBR Orgaan Van K Belg Ver Voor Radiol KBVR. 2005 May–Jun;88(3):158–159.
  20. Rodríguez-Henríquez P, Solano C, Peña A, et al. Sternoclavicular joint involvement in rheumatoid arthritis: Clinical and ultrasound findings of a neglected joint. Arthritis Care Res (Hoboken). 2013 Jul;65(7):1177–1182. doi:10.1002/acr.21958.
  21. Aslam M, Rajesh A, Entwisle J, Jeyapalan K. Pictorial review: MRI of the sternum and sternoclavicular joints. Br J Radiol. 2002;75(895):627–634. doi:10.1259/bjr.75.895. 750627.
  22. Sokolofff L, Gleason IO. The sternoclavicular articulation in rheumatic diseases. Am J Clin Pathol. 1954 Apr;24(4):406–414.

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