Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis

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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Main Authors: Makoto Takeuchi, Tomohiro Goto, Kiminori Yukata, Naoto Suzue, Daisuke Hamada, Toshihiko Nishisho, Ichiro Tonogai, Tetsuya Matsuura, Koichi Sairyo
Format: Article
Language:English
Published: Hindawi Limited 2014-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2014/798329
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spelling doaj-96cfb054d1f94b34a85008731e9329e62020-11-25T01:07:31ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/798329798329Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint SynovitisMakoto Takeuchi0Tomohiro Goto1Kiminori Yukata2Naoto Suzue3Daisuke Hamada4Toshihiko Nishisho5Ichiro Tonogai6Tetsuya Matsuura7Koichi Sairyo8Department of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanDepartment of Orthopedics, Institute of Health Biosciences, The University of Tokushima Graduate School, 3-18-15 Kuramoto, Tokushima 770-8503, JapanInjury 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.http://dx.doi.org/10.1155/2014/798329
collection DOAJ
language English
format Article
sources DOAJ
author Makoto Takeuchi
Tomohiro Goto
Kiminori Yukata
Naoto Suzue
Daisuke Hamada
Toshihiko Nishisho
Ichiro Tonogai
Tetsuya Matsuura
Koichi Sairyo
spellingShingle Makoto Takeuchi
Tomohiro Goto
Kiminori Yukata
Naoto Suzue
Daisuke Hamada
Toshihiko Nishisho
Ichiro Tonogai
Tetsuya Matsuura
Koichi Sairyo
Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis
Case Reports in Orthopedics
author_facet Makoto Takeuchi
Tomohiro Goto
Kiminori Yukata
Naoto Suzue
Daisuke Hamada
Toshihiko Nishisho
Ichiro Tonogai
Tetsuya Matsuura
Koichi Sairyo
author_sort Makoto Takeuchi
title 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_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_sort nonunion of the first sternocostal synchondrosis accompanied by sternoclavicular joint synovitis
publisher Hindawi Limited
series Case Reports in Orthopedics
issn 2090-6749
2090-6757
publishDate 2014-01-01
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.
url http://dx.doi.org/10.1155/2014/798329
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