Stress fracture of the clavicle associated with sternocostoclavicular hyperostosis combined with bony ankylosis of the acromioclavicular joint and ossification of the coracoclavicular ligament.
Rie KuroseYuji WakaiPublished in: Modern rheumatology case reports (2024)
Sternocostoclavicular hyperostosis (SCCH) has been reported in patients with pustulotic arthro-osteitis, but there are few reports of marked ossification of the lateral part of the clavicle. Here, we report a case of stress fracture in a patient with SCCH with marked ossification of the lateral part of the clavicle. In this case, the clavicular fracture was proximal and no dislocation. Conservative treatment with a clavicle band and the administration of corticosteroids resulted in rapid symptom improvement. Eight months later, the patient had no difficulty in daily life, but X-rays showed that bone fusion was not complete. Therefore, it is necessary to carefully follow-up such patients for any recurrence of symptoms and radiographic changes.
Keyphrases
- end stage renal disease
- case report
- chronic kidney disease
- ejection fraction
- newly diagnosed
- minimally invasive
- hip fracture
- prognostic factors
- peritoneal dialysis
- stress induced
- physical activity
- patient reported
- emergency department
- soft tissue
- electronic health record
- smoking cessation
- loop mediated isothermal amplification
- sensitive detection