Polymyalgia rheumatica (PMR) is one of the inflammatory rheumatic diseases that can potentially be detected by positron emission tomography/CT. High fluorine-18 fludeoxyglucose (18F-FDG) accumulation around the shoulders, sternoclavicular and hip joints are the most common pre-treatment features of patients with PMR. Another common sign is increased 18F-FDG uptake in extra-articular regions between columnal spinous processes, near ischial tuberosities and in the praepubic area. Some patients also present with high 18F-FDG uptake in main arteries, corresponding to the characteristics of giant cell arteritis. It is possible to observe a decrease or even a disappearance of 18F-FDG uptake after effective therapy, an event which may be useful for the monitoring of treatment as well as for detection of PMR relapse.
- MeSH
- fluorodeoxyglukosa F18 * MeSH
- kyčelní kloub diagnostické zobrazování MeSH
- lidé MeSH
- PET/CT metody MeSH
- polymyalgia rheumatica diagnostické zobrazování MeSH
- radiofarmaka * MeSH
- ramenní kloub diagnostické zobrazování MeSH
- sternoklavikulární kloub diagnostické zobrazování MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- Názvy látek
- fluorodeoxyglukosa F18 * MeSH
- radiofarmaka * MeSH
We report a case of a 14-year-old patient with rare dorsal sternoclavicular dislocation caused by a sports injury. The patient was admitted to our department for further investigation and treatment. After a series of examinations, an open reduction and fixation using K-wires was used as a treatment modality. A satisfactory outcome was achieved, the patient returned to full sports activity 3 months after the surgery, with no limitations of movement. The necessity of early diagnosis and treatment options of this rare injury has been discussed. Key words: sternoclavicular joint, dorsal dislocation, open reduction.
We present the case report of a 21-year-old man with a late diagnosis of retrosternal dislocation of the sternoclavicular joint with a fractured sternal end of the clavicle. The first symptom leading to the diagnosis was dysphagia associated with physical activity. The diagnosis was based on computed tomography examination. In the first place, the fragment of the medial clavicular end was fixed with two screws. During surgery the sternoclavicular joint was wrongly identified; this fact was revealed by the following radiographic examination. On revision surgery, the sternoclaviculr ligament was reconstructed using a semitendinosus tendon graft. The reconstructed ligament was augmented with two Orthocord sutures running between the clavicle and the first rib. At 2 years after surgery the functional outcome and sternoclavicular joint stability were excellent.
Sternoclavicular arthtritis is a condition of the joints and movement apparatus which is treated by Rheumatologists and Orthepedists. Incorrect or late treatment of this condition leads to the development of septic arthritis and overall complications. This report describes three rare cases of mediastinitis caused by inflammation of the sternoclavicular joint. The authors analyze the possibilities of surgical treatment and early diagnosis.
- MeSH
- dospělí MeSH
- infekční artritida komplikace MeSH
- lidé středního věku MeSH
- lidé MeSH
- mediastinitida etiologie MeSH
- senioři MeSH
- sternoklavikulární kloub * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- ženské pohlaví MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- kazuistiky MeSH
Presented here is a rare case in which Kirschner wires migrated from the right sternoclavicular joint to the heart. A 29-year-old man suffering from sternoclavicular instability due to a motorcycle accident received surgical fixation with Kirschner wires. Six months after the surgery, the chest x-ray showed migration of the 3 broken wires to the anterior mediastinum and to the right hemithorax. The patient was asymptomatic and was scheduled for elective surgical extraction of the migrating wires because of the potential danger of injuring the mediastinal organs.During the surgery, the intracardiac location of all wires was discovered,and the wires were successfully extracted from the extracorporeal circulation. This rare and potentially lethal complication is discussed.
- MeSH
- arteria pulmonalis zranění chirurgie MeSH
- dospělí MeSH
- kostní dráty škodlivé účinky MeSH
- lidé MeSH
- migrace cizích těles etiologie chirurgie MeSH
- poranění srdce etiologie chirurgie MeSH
- sternoklavikulární kloub chirurgie MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
Intrathoracic and intravascular migratory foreign bodies are a small but distinctive subgroup of injuries. The intravascular embolus can be treated like arterial or venous emboli of any other sort and removed as indicated. Wandering foreign bodies in the body cavities should be removed when they need to be, just like bodies imbedded in the body in a fixed position. Authors report an unusual case of migratory foreign body as a complication of osteosynthesis.
- MeSH
- dislokace kloubu chirurgie MeSH
- dospělí MeSH
- kostní dráty * MeSH
- lidé MeSH
- migrace cizích těles diagnóza chirurgie MeSH
- ortopedické fixační pomůcky škodlivé účinky MeSH
- srdeční síně * MeSH
- sternoklavikulární kloub zranění MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
The authors describe two cases of the disease. They perform modified operation after Speed in which they use instead of a strip from fascia lata a 1 mm thick binding wire for the fixation of the medial end of the clavicle to the first rib. Immobilization in the Desault bandage takes three weeks and is followed by rehabilitation with the reduction of elevation above 90 degrees. After twelve weeks the upper extremity of the affected side can perform normal activity, however, with permanent exclusion of weightbearing of the extremity in the direction conductive to dislocation.
- MeSH
- artrografie * MeSH
- dospělí MeSH
- exostózy komplikace diagnostické zobrazování MeSH
- lidé MeSH
- psoriáza komplikace MeSH
- sternoklavikulární kloub diagnostické zobrazování MeSH
- sternokostální klouby diagnostické zobrazování MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- mužské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- MeSH
- artritida diagnostické zobrazování etiologie MeSH
- lidé středního věku MeSH
- lidé MeSH
- osteochondritida diagnostické zobrazování etiologie MeSH
- radiografie MeSH
- sternoklavikulární kloub * zranění MeSH
- Check Tag
- lidé středního věku MeSH
- lidé MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- kazuistiky MeSH
- MeSH
- dospělí MeSH
- exostózy * MeSH
- heterotopická osifikace * diagnóza MeSH
- klouby * MeSH
- lidé středního věku MeSH
- lidé MeSH
- senioři MeSH
- sternoklavikulární kloub * MeSH
- sternokostální klouby * MeSH
- Check Tag
- dospělí MeSH
- lidé středního věku MeSH
- lidé MeSH
- mužské pohlaví MeSH
- senioři MeSH
- Publikační typ
- anglický abstrakt MeSH
- časopisecké články MeSH
- kazuistiky MeSH
