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Other Rheumatic Inflammatory Disorders

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Imaging of the Sternocostoclavicular Region

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14.7 Conclusion

All rheumatic inflammatory disorders can involve the SCC region. SCC involvement may, however, be overlooked or misinterpreted due to the pain being referred to regions distant from the joints.

Manubriosternal joint arthritis may occasionally be the first manifestation of a generalised arthritis, and may then for a period be monoarticular. Persistent MSJ monarthritis is a rare finding, which sometimes occurs together with psoriasis or HLA-B27.

Monoarticular swelling of sternocostal joints may be due to anatomical variants, osteoarthritis and arthritic changes. Such swelling is sometimes termed Tietze’s syndrome. To avoid misinterpretation this term should be used only if there is no detectable cause of the swelling at imaging or clinically.

In non-rheumatology clinics SCC pain and swelling may be regarded as signs of tumour, and the symptoms can be interpreted as signs of cardiac disease.

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References

  1. Andonopoulos AP, Meimaris N, Yiannopoulos G, Pastromas V, Dimopoulos P (2003) Large synovial cysts originating from the sternoclavicular joints in a patient with rheumatoid arthritis. Ann Rheum Dis 62:1119–1120

    Article  PubMed  CAS  Google Scholar 

  2. Ausubel H, Cohen BD, Ladue JS (1959) Tietze’s disease of eight years’ duration. N Engl J Med 261:190

    Article  PubMed  CAS  Google Scholar 

  3. Baas J, Eijsvogel M, Dijkstra P (1988) Persistent sternum synchondroses on bone scintigraphy. Eur J Nucl Med 13:572–573

    PubMed  CAS  Google Scholar 

  4. Bogdan A, Clark J (1950) The manubrio-sternal joint in rheumatoid arthritis. Br Med J 2:1361–1362

    PubMed  CAS  Google Scholar 

  5. Bremner RA (1959) Monarticular, non-infective subacute arthritis of the sterno-clavlcular joint. J Bone Joint Surg Br 41-B:749–753

    PubMed  CAS  Google Scholar 

  6. Caravatti M, Wiesli P, Uebelhart D, Germann D, Welzl-Hinterkorner E, Schulthess G (2002) Coincidence of Behçet’s disease and SAPHO syndrome. Clin Rheumatol 21:324–327

    Article  PubMed  CAS  Google Scholar 

  7. Currey HL, Elson RA, Mason RM (1968) Surgical treatment of manubrio-sternal pain in Behçet’s syndrome. Report of a case. J Bone Joint Surg Br 50:836–840

    PubMed  CAS  Google Scholar 

  8. DeHaas WHD (1952) Tietze’s syndrome (in Dutch with English summary). Ned Tijdschr Geneeskd 96:254–256

    CAS  Google Scholar 

  9. Dilsen N, McEwen C, Poppel M, Gersh WJ, DiTata D, Carmel P (1962) A comparative roentgenologic study of rheumatoid arthritis and rheumatoid (ankylosing) spondylitis. Arthritis Rheum 5:341–368

    Article  PubMed  CAS  Google Scholar 

  10. Doube A, Clarke AK (1989) Symptomatic manubriosternal joint involvement in rheumatoid arthritis. Ann Rheum Dis 48:516–517

    PubMed  CAS  Google Scholar 

  11. Dura PA, Daniel TM, Frierson HF Jr, Brunner CM (1993) Chest wall mass in rheumatoid arthritis. J Rheumatol 20:910–912

    PubMed  CAS  Google Scholar 

  12. Frank M, De Vries A, Atsmon A (1960) Gout simulating cardiac pain. Am J Cardiol 6:929–932

    Article  PubMed  CAS  Google Scholar 

  13. Glay A (1961) Destructive lesions of the clavicle. J Can Assoc Radiol 12:117–125

    PubMed  CAS  Google Scholar 

  14. Grosbois B, Pawlotsky Y, Chalès G, Meadeb J, Carsin M, Louboutin JY (1981) Etude clinique et radiologique de l’articulation manubrio-sternale. Comparaison entre 80 sujets témoins et 88 patients atteints de rhumatismes inflammatoires chroniques. Rev Rhum 48:495–503

    PubMed  CAS  Google Scholar 

  15. Hassett G, Barnsley L (2001) Pain referral from the sternoclavicular joint: a study in normal volunteers. Rheumatology (Oxford) 40:859–862

    Article  PubMed  CAS  Google Scholar 

  16. Imanishi Y, Mitogawa Y, Takizawa M, Konno S, Samuta H, Ohsawa A, Kawaguchi A, Fujikawa M, Sakaida H, Shinagawa T, Yamashita H (1999) Relapsing polychondritis diagnosed by Tc-99m MDP bone scintigraphy. Clin Nucl Med 24:511–513

    Article  PubMed  CAS  Google Scholar 

  17. Julkunen H (1962) Rheumatoid spondylitis. Clinical and laboratory study of 149 cases compared with 182 cases of rheumatoid arthritis. Acta Rheumatol Scand Suppl 4:1–110

    Google Scholar 

  18. Jurik AG (1991) Seronegative arthritides of the anterior chest wall: a follow-up study. Skeletal Radiol 20:517–525

    Article  PubMed  CAS  Google Scholar 

  19. Jurik AG (1992) Seronegative anterior chest wall syndromes. A study of the findings and course at radiography. Acta Radiol Suppl 301:1–42

    Google Scholar 

  20. Jurik AG, Graudal H (1987) Monarthritis of the manubriosternal joint. A follow-up study. Rheumatol Int 7:235–241

    Article  PubMed  CAS  Google Scholar 

  21. Jurik AG, Graudal H (1988) Sternocostal joint swelling: clinical Tietze’s syndrome. Report of sixteen cases and review of the literature. Scand J Rheumatol 17:33–42

    PubMed  CAS  Google Scholar 

  22. Jurik AG, Moller BN, Jensen MK, Jensen JT, Graudal H (1986) Sclerosis and hyperostosis of the manubrium sterni. Rheumatol Int 6:171–178

    Article  PubMed  CAS  Google Scholar 

  23. Jurik AG, Justesen T, Graudal H (1987) Radiographic findings in patients with clinical Tietze syndrome. Skeletal Radiol 16:517–523

    Article  PubMed  CAS  Google Scholar 

  24. Kalliomaki JL, Viitanen SM, Virtama P (1968) Radiological findings of sternoclavicular joints in rheumatoid arthritis. Acta Rheumatol Scand 14:233–240

    PubMed  CAS  Google Scholar 

  25. Kayser HL (1956) Tietze’s syndrome. A review of the literature. Am J Med 21:982–989

    Article  PubMed  CAS  Google Scholar 

  26. Kennedy AC (1957) Tietze’s syndrome: an unusual cause of chest wall swelling. Scott Med J 2:363–365

    PubMed  CAS  Google Scholar 

  27. Kernodle GW, Allen NB (1986) Acute gout presenting in the manubriosternal joint. Arthritis Rheum 29:570–572

    Article  PubMed  Google Scholar 

  28. Khong TK, Rooney PJ (1982) Manubriosternal joint subluxation in rheumatoid arthritis. J Rheumatol 9:712–715

    PubMed  CAS  Google Scholar 

  29. Kormano M (1970) A microradiographic and histological study of the manubrio-sternal joint in rheumatoid arthritis. Acta Rheumatol Scand 16:47–59

    PubMed  CAS  Google Scholar 

  30. Laine VA, Vainio KJ, Pekanmaki K (1954) Shoulder affections in rheumatoid arthritis. Ann Rheum Dis 13:157–160

    PubMed  CAS  Google Scholar 

  31. Laitinen H, Saksanen S, Suoranta H (1970) Involvement of the manubrio-sternal articulation in rheumatoid arthritis. Acta Rheum Scand 16:40–46

    Article  PubMed  CAS  Google Scholar 

  32. Levey GS, Calabro JJ (1962) Tietze’s syndrome: report of two cases and review of the literature. Arthritis Rheum 5:261–269

    Article  Google Scholar 

  33. Litchman HM, Silver CM, Simon SD, Tamura H (1969) Post-traumatic degenerative arthrosis in the manubrio-sternal joint. Clin Orthop 67:111–115

    PubMed  CAS  Google Scholar 

  34. Lundholm G (1959) Arthritis in the manubriosternal joint after trauma. Acta Orthop Scand 29:90–97

    Article  PubMed  CAS  Google Scholar 

  35. McAdam LP, O’Hanlan MA, Bluestone R, Pearson CM (1976) Relapsing polychondritis: prospective study of 23 patients and a review of the literature. Medicine (Baltimore) 55:193–215

    Article  PubMed  CAS  Google Scholar 

  36. Reiter R (1956) Zur Kenntnis der sogenannten Chondritis und Perichondritis der oberen Synchondrose des Sternums. Z Orthop 87:436–446

    PubMed  CAS  Google Scholar 

  37. Resnick D, Niwayama G, Goergen TG, Utsinger PD, Shapiro RF, Haselwood DH, Wiesner KB (1977) Clinical, radiographic and pathologic abnormalities in calcium pyrophosphate dihydrate deposition disease (CPPD): pseudogout. Radiology 122:1–15

    PubMed  CAS  Google Scholar 

  38. Richman KM, Boutin RD, Vaughan LM, Haghighi P, Resnick D (1999) Tophaceous pseudogout of the sternoclavicular joint. Am J Roentgenol 172:1587–1589

    CAS  Google Scholar 

  39. Roberts AE (1958) Tietze’s syndrome. Pa Med J 61:1497–1498

    Google Scholar 

  40. Sant GR, Dias E (1976) Primary gout affecting the sternoclavicular joint. Br Med J 1:262

    PubMed  CAS  Google Scholar 

  41. Savill DL (1951) The manubrio-sternal joint in ankylosing spondylitis. J Bone Joint Surg Br 33:56–64

    PubMed  Google Scholar 

  42. Schils JP, Resnick D, Haghighi P, Trudell D, Sartoris DJ (1989) Sternocostal joints. Anatomic, radiographic and pathologic features in adult cadavers. Invest Radiol 24:596–603

    Article  PubMed  CAS  Google Scholar 

  43. Schils JP, Resnick D, Haghighi PN, Trudell D, Sartoris DJ (1989) Pathogenesis of discovertebral and manubriosternal joint abnormalities in rheumatoid arthritis: a cadaveric study. J Rheumatol 16:291–297

    PubMed  CAS  Google Scholar 

  44. Sebes JI, Salazar JE (1983) The manubriosternal joint in rheumatoid disease. Am J Roentgenol 140:117–121

    CAS  Google Scholar 

  45. Sokoloff F, Gleason IO (1954) The sternocostoclavicular articulation in rheumatic disease. Am J Clin Pathol 24:406–416

    Google Scholar 

  46. Verschuuren J, Goei The HS, Schreutelkamp I, Houben HM, Burlage F, de Korte P, Veldhuyzen VZ (1987) Radiological abnormalities of the manubriosternal joint in patients with rheumatoid arthritis and osteoarthrosis Scand J Rheumatol 16:139–142

    PubMed  CAS  Google Scholar 

  47. Wehrmacher WH (1955) Significance of Tietze’s syndrome in differential diagnosis of chest pain. J Am Med Assoc 157:505–507

    PubMed  CAS  Google Scholar 

  48. Yamasaki O, Iwatsuki K, Kaneko F (2003) A case of SAPHO syndrome with pyoderma gangrenosum and inflammatory bowel disease masquerading as Behçet’s disease. Adv Exp Med Biol 528:339–341

    Article  PubMed  Google Scholar 

  49. Zitnan D, Sitaj S (1976) Natural course of articular chondrocalcinosis. Arthritis Rheum 19(suppl 3):363–390

    Article  PubMed  Google Scholar 

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  1. Department of Radiology, Aarhus University Hospital, Noerrebrogade 44, DK-8000, Aarhus C, Denmark

    Anne Grethe Jurik MD

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  1. Department of Radiology, Aarhus University Hospital, Noerrebrogade 44, DK-8000, Aarhus C, Denmark

    Anne Grethe Jurik MD, DMSc (Associate Professor, Consultant and Director of Research) (Associate Professor, Consultant and Director of Research)

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Jurik, A.G. (2007). Other Rheumatic Inflammatory Disorders. In: Jurik, A.G. (eds) Imaging of the Sternocostoclavicular Region. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-33148-3_14

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  • DOI: https://doi.org/10.1007/978-3-540-33148-3_14

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