Sternoclavicular Joint
Dislocations
Clavicle
Arthritis, Infectious
Polydioxanone
Acquired Hyperostosis Syndrome
Football
Hyperostosis, Sternocostoclavicular
Injury to the first rib synchondrosis in a rugby footballer. (1/55)
Injuries to the first rib synchondrosis are uncommon in sport. The potential for serious complications following posterior displacement is similar to that seen with posterior sternoclavicular joint dislocation. Clinical examination and plain radiography may not provide a definitive diagnosis. Computerised tomography is the most appropriate imaging modality if this injury is suspected. Posterior dislocation of the first rib costal cartilage with an associated fracture of the posterior sternal aspect of the synchondrosis has not been previously reported. (+info)Posterior sternoclavicular dislocations--a diagnosis easily missed. (2/55)
Posterior dislocation of the sternoclavicular joint is a relatively rare injury and can be difficult to diagnose acutely. We report 3 cases of posterior dislocation of the sternoclavicular joint who presented to the Accident & Emergency Department within a 3 month period. All 3 patients had sustained a significant injury to the shoulder region and complained of pain around the medial clavicle. Two patients had also complained of dysphagia following the injury. Plain X-rays of the shoulder and chest were reported as normal by junior and senior medical staff. The diagnosis was delayed until CT scans were performed, and once this was established, open reduction and stabilisation was performed. (+info)A 'safe' surgical technique for stabilisation of the sternoclavicular joint: a cadaveric and clinical study. (3/55)
In symptomatic patients with recurrent anterior sternoclavicular dislocation, surgery may be required to stabilise the joint. Posterior sternoclavicular dislocations may also require open reduction and stabilisation due to the complications that may arise. We present a new, 'safe' technique of surgical stabilisation of the sternoclavicular joint that is not technically demanding and does not require exposure of the first rib, as is often the case in other methods described. The repair was tested in cadavers before being employed in three patients and was found to be effective under both static and dynamic loading. The early clinical results prove encouraging. (+info)Surgical treatment of chronic dislocation of the sterno-clavicular joint. (4/55)
The costo-clavicular ligament is always ruptured in dislocation at the sterno-clavicular joint. Anterior, superior or posterior displacement of the medial end of the clavicle may occur. Acute dislocation usually responds to conservative treatment and operation is seldom required. Chronic, or recurrent, dislocation may cause pain and disability on strenuous activity and necessitate surgical treatment. The operation of tenodesis of the subclavius tendon with capsulorrhaphy described by Burrows (1951) has been adopted. The intraarticular meniscus is often damaged and displaced, and may block reduction; its removal is then necessary. In addition, a threaded Stinmann pin transfixing the joint has been found useful to maintain the stability of reduction. The operation has been performed on five patients, four of whom had excellent results. The fifth patient disrupted the repair in a drinking bout shortly after the operation. (+info)Pain referral from the sternoclavicular joint: a study in normal volunteers. (5/55)
OBJECTIVE: The sternoclavicular joint (SCJ) is commonly affected by rheumatological conditions. Case reports suggest that it may refer pain to distant areas, potentially leading to delays in diagnosis and inappropriately targeted investigations. Therefore, we studied the patterns of pain referral from the SCJ of nine healthy volunteers. METHODS: Hypertonic saline was injected into the SCJ of nine normal volunteers and the location of any resulting pain was noted, as was the effect of resisted shoulder abduction and flexion. Composite pain maps were then constructed from individual pain diagrams. RESULTS: An unpleasant, deep aching pain was produced locally in eight subjects and referred to distant sites in all subjects. Tests of shoulder movement had varied and inconstant effects. CONCLUSIONS: We demonstrated that the SCJ is capable of referring pain to areas distant from the joint. Knowledge of these referral patterns will enable the SCJ to be considered in patients with pain in these areas. (+info)Resection arthroplasty of the sternoclavicular joint for the treatment of primary degenerative sternoclavicular arthritis. (6/55)
We describe the mid-term clinical results of the surgical treatment of primary degenerative arthritis of the sternoclavicular joint in eight women. They had not responded to conservative treatment and underwent a limited resection arthroplasty. For pre- and postoperative clinical evaluation we used the Rockwood score for the sternoclavicular joint. Postoperatively, the Constant score was also determined. The mean follow-up was 31 months (10 to 82). The median Rockwood score increased from 6 to 12.5 points. The median postoperative Constant score was 87 (65 to 91). Four patients had an excellent, three a good, and one a poor result. All patients were pleased with the cosmetic result. Resection arthroplasty is an effective and safe treatment for chronic, symptomatic degenerative arthritis of the sternoclavicular joint with a high degree of patient satisfaction. (+info)Coracoclavicular joint: osteologic study of 1020 human clavicles. (7/55)
We examined 1020 dry clavicles from cadavers of Italian origin to determine the prevalence of the coracoclavicular joint (ccj), a diarthrotic synovial joint occasionally present between the conoid tubercle of the clavicle and the superior surface of the horizontal part of the coracoid process. Five hundred and nine clavicles from individuals of different ages were submitted to X-ray examination. Using radiography, we measured the entire length and the index of sinuosity of the anterior lateral curve, on which the distance between the conoid tubercle and the coracoid process depends. We also used radiography to record the differences in prevalence of arthritis in two neighbouring joints, the acromioclavicular and sternoclavicular joints. Of the 1020 clavicles, eight (0.8%) displayed the articular facet of the ccj. No statistical correlation was found between clavicular length and the index of sinuosity of the anterior lateral curve. The prevalence of arthritis in clavicles with ccj was higher than that revealed in clavicles without ccj. The prevalence of ccj in the studied clavicles is lower than that observed in Asian cohorts. Furthermore, ccj is not conditioned by either length or sinuosity of the anterior lateral curve of the clavicle. Finally, the assumption that ccj is a predisposing factor for degenerative changes of neighbouring joints is statistically justified. (+info)Sternoclavicular joint infection in an adult without predisposing risk factors. (8/55)
Septic arthritis of the sternoclavicular joint (SCJ) is an uncommon condition and it has been associated with numerous predisposing factors. We describe a rare case of SCJ infection due to Staphylococcus aureus in an adult without known underlying predisposing conditions and in which recovery was achieved with medical therapy alone. (+info)The sternoclavicular joint is the joint where the clavicle (collarbone) meets the sternum (breastbone). It is the only joint that connects the upper limb to the trunk of the body. This joint allows for movement in multiple directions, including elevation and depression of the shoulder, as well as some degree of protraction and retraction. The sternoclavicular joint is supported by several ligaments, which provide stability and strength to the joint.
A dislocation is a condition in which a bone slips out of its normal position in a joint. This can happen as a result of trauma or injury, such as a fall or direct blow to the body. Dislocations can cause pain, swelling, and limited mobility in the affected area. In some cases, a dislocation may also damage surrounding tissues, such as ligaments, tendons, and nerves.
Dislocations are typically treated by reducing the dislocation, which means putting the bone back into its normal position. This is usually done with the help of medication to relieve pain and relaxation techniques to help the person stay still during the reduction. In some cases, surgery may be necessary to repair damaged tissues or if the dislocation cannot be reduced through other methods. After the dislocation has been reduced, the joint may be immobilized with a splint or sling to allow it to heal properly.
It is important to seek medical attention promptly if you suspect that you have a dislocation. If left untreated, a dislocation can lead to further complications, such as joint instability and chronic pain.
The clavicle, also known as the collarbone, is a long, slender bone that lies horizontally between the breastbone (sternum) and the shoulder blade (scapula). It is part of the shoulder girdle and plays a crucial role in supporting the upper limb. The clavicle has two ends: the medial end, which articulates with the sternum, and the lateral end, which articulates with the acromion process of the scapula. It is a common site of fracture due to its superficial location and susceptibility to direct trauma.
Infectious arthritis, also known as septic arthritis, is a type of joint inflammation that is caused by a bacterial or fungal infection. The infection can enter the joint through the bloodstream or directly into the synovial fluid of the joint, often as a result of a traumatic injury, surgery, or an underlying condition such as diabetes or a weakened immune system.
The most common symptoms of infectious arthritis include sudden onset of severe pain and swelling in the affected joint, fever, chills, and difficulty moving the joint. If left untreated, infectious arthritis can lead to serious complications such as joint damage or destruction, sepsis, and even death. Treatment typically involves antibiotics or antifungal medications to eliminate the infection, along with rest, immobilization, and sometimes surgery to drain the infected synovial fluid.
It is important to seek medical attention promptly if you experience symptoms of infectious arthritis, as early diagnosis and treatment can help prevent long-term complications and improve outcomes.
Polydioxanone (PDO) is a synthetic, absorbable monofilament suture material that is commonly used in surgical procedures. It is made from a polymer of polydioxanone and has a variety of medical uses, including soft tissue approximation and ligation. PDO sutures are known for their high tensile strength and slow absorption rate, which can make them ideal for use in surgeries where long-term support is needed before the suture is fully absorbed by the body. The absorbable nature of PDO sutures also eliminates the need for a second surgical procedure to remove them.
In summary, Polydioxanone (PDO) is a synthetic, absorbable monofilament suture material that is commonly used in surgical procedures due to its high tensile strength and slow absorption rate.
Acquired hyperostosis syndrome is not a widely recognized medical term, and it may refer to several different conditions that involve abnormal bone growth or hardening. One possible condition that might be referred to as acquired hyperostosis syndrome is diffuse idiopathic skeletal hyperostosis (DISH).
Diffuse idiopathic skeletal hyperostosis is a non-inflammatory condition that affects the spine and other parts of the body. It is characterized by the calcification and ossification of ligaments and entheses, which are the sites where tendons or ligaments attach to bones. This process can lead to the formation of bony spurs or growths, called osteophytes, along the spine and other affected areas.
The exact cause of DISH is not known, but it is more common in older adults, males, and people with certain medical conditions such as diabetes and obesity. The symptoms of DISH can vary widely depending on the severity and location of the bone growths. Some people may experience stiffness, pain, or limited mobility in the affected areas, while others may have no symptoms at all.
It is important to note that there are many other conditions that can cause abnormal bone growth or hardening, so a proper medical evaluation is necessary to determine the underlying cause of any symptoms. If you have concerns about acquired hyperostosis syndrome or any other medical condition, you should speak with your healthcare provider for further guidance.
I'm sorry for any confusion, but "football" is a popular sport and not a medical term. The term "football" refers to a group of sports that involve kicking a ball with the foot to score goals. The most popular types of football are soccer, American football, Canadian football, Australian rules football, and rugby football.
If you have any questions related to medical terminology or health concerns, I would be happy to help!
Osteitis is a medical term that refers to the inflammation of bone tissue. It can occur as a result of various conditions, such as infection (osteomyelitis), trauma, or autoimmune disorders. The symptoms of osteitis may include pain, swelling, warmth, and redness in the affected area, as well as fever and general malaise. Treatment typically involves addressing the underlying cause of the inflammation, which may involve antibiotics for infection or anti-inflammatory medications for other causes. In some cases, surgery may be necessary to remove infected or damaged bone tissue.
Hyperostosis, sternocostoclavicular, is a medical condition characterized by the abnormal thickening and hardening of the bone tissue in the sternocostoclavicular joint and surrounding areas. The sternocostoclavicular joint is where the clavicle (collarbone) meets the sternum (breastbone) and manubrium, and costae (ribs). This condition can result in pain, stiffness, and limited range of motion in the affected area. The exact cause of hyperostosis, sternocostoclavicular, is not fully understood, but it may be associated with trauma, inflammation, or genetic factors. In some cases, this condition may be asymptomatic and only discovered during imaging studies performed for other reasons. Treatment options typically include pain management, physical therapy, and in some cases, surgery to remove the excess bone growth.
Sternoclavicular joint