Degenerative sternoclavicular arthritis and hyperostosis.

Degenerative sternoclavicular arthritis and hyperostosis.

Noble Jeffrey S

Clinics in sports medicine

2003

2003-04

Symptomatic arthritic involvement of the sternoclavicular joint is relatively uncommon and can be a result of distant trauma, infection, and sternocostoclavicular hyperostosis, post-menopausal arthritis, condensing osteitis of the proximal clavicle, or secondary to an underlying arthropathy. Patients with degenerative osteoarthritis due to trauma most commonly have had either an anterior or posterior dislocation, subluxation, or periarticular fracture. Medical claviculectomy with or without ligamentous stabilization is indicated only in situations of painful primary and secondary rheumatoid arthritis, or in patients with neoplastic lesions. Numerous authors have recommended surgical reconstruction but few have reported series larger than two or three cases. This article reviews a few specific arthropathy conditions about the sternoclavicular joint and discusses their nonoperative and operative management.

*Sternoclavicular Joint/injuries; Adult; Aged; Arthritis; Arthroplasty/methods; Bone/complications; Clavicle/surgery; Female; Fractures; Humans; Hyperostosis/diagnosis/etiology/*therapy; Joint Dislocations/complications; Joint Instability/surgery; Male; Middle Aged; Osteitis/diagnosis/etiology; Osteoarthritis/diagnosis/etiology/*therapy; Postmenopause; Reactive/etiology/therapy

Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).

407–422, ix

2

22