BACKGROUND Dislocation of the sternoclavicular joint is a rare injury that has a low incidence of signifcant long-term symptoms. Surgical reconstruction of the joint is indicated in patients with symptomatic, chronic anterior instability or with irreducible or recurrent posterior instability. There have been many reported techniques for stabilization of the joint, but few investigators have rep...

A 27 year old, HIV positive, homosexual man was admitted for evaluation and treatment of acute oligoarticular arthritis. Gonococcal arthritis was found in a single hip and a single sternoclavicular joint, which is an unusual distribution for this bacterial pathogen.

Pustulotic arthro-osteitis is a syndrome, originally described in Japan, in which a sterile inflammatory osteitis of the sternoclavicular region occurs in combination with a non-erosive arthritis, sacroiliitis, and a pustulotic rash on the palms and soles. Although the disease has been reported in white populations, it is rarely seen by rheumatologists in the United Kingdom. The case of a Scott...

Sternocostoclavicular hyperostosis (SCCH) is an infrequent chronic inflammatory disorder of the axial skeleton of unknown origin. SCCH goes often unrecognized due to a low level of awareness for the disorder. It typically presents with relapsing and remitting pain in the shoulder, neck, and anterior chest wall area with occasional swelling and tenderness of the sternoclavicular area. The diagno...

Posterior sternoclavicular joint dislocation is a rare but potentially serious injury. It is most commonly seen in teenagers or young adults involved in major trauma and can be difficult to diagnose clinically and radiologically. It is our experience that this injury is frequently associated with a delay in diagnosis and may be clinically insignificant initially. Despite this benign early clini...

A 70 year old man, a non-smoker, presented with a painful swelling over the right sternoclavicular joint and low grade continuous fever for a period of two months. The patient had been empirically started on antituberculous therapy on the suspicion of tuberculous osteomyelitis, but his fever and swelling persisted. On clinical examination, a hard and tender swelling was present over the right s...

We retrospectively analysed the clinical results of 30 patients with injuries of the sternoclavicular joint at a minimum of 12 months' follow-up. A closed reduction was attempted in 14 cases. It was successful in only five of ten dislocations, and failed in all four epiphyseal disruptions. A total of 25 patients underwent surgical reduction, in 18 cases in conjunction with a stabilisation proce...

A 58-year-old woman presented with chest pain and dyspnea. Chest computed tomography (CT) revealed a bulky mediastinal mass compressing the trachea and enlargement of the contralateral hilar lymph nodes (Picture 1). Endobronchial ultrasound-guided transbronchial needle aspiration was performed, and the pathological diagnosis was small-cell lung cancer (SCLC). Bone scintigraphy revealed the RI (...