Archives of orthopaedic and traumatic surgery. Archiv fur orthopadische und Unfall-Chirurgie · 1979
Clinical features of 22 cases with "inter-sterno-costo-clavicular ossification". A new rheumatic syndrome.
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Sonozaki H, Azuma A, Okai K, Nakamura K, Fukuoka S, Tateishi A, Kurosawa H, Mannoji T, Kabata K, Mitsui H, Seki H, Abe I, Furusawa S, Matsuura M, Kudo A, Hoshino T
Аннотация
We present 22 cases with inter-sterno-costoclavicular ossification. Clinical and pathological findings show that abnormal ossification observed in this situation is due to non-suppurative chronic inflammation of the soft tissues around the sterno-costo-clavicular region such as the costo-clavicular ligament. We have classified X-ray findings into three stages according to the extent of the ossification; localized, generalized, and hyperostotic, and show that the disease progressed in this sequence. A considerable number of the patients showed abnormal X-ray findings in the spine or the sacro-iliac joint. Frequent association of pustulosis palmaris et plantaris was noted in this disease. Most of the cases were treated effectively with anti-inflammatory drugs, but a few cases required surgical resection of the ossified mass with the clavicle or the first rib in order to relieve the severe pain.