Lagier R, Arroyo J, Fallet G H
Pathol Res Pract. 1986 Oct;181(5):596-603.
Anatomico-radiological study of a sternocostoclavicular mass taken post-mortem from a man whose clinical history had shown bilateral sternocostoclavicular hyperostosis (SCCH) with plantar pustulosis for 27 years. The clavicle showed an ununited fracture attributable to a trauma sustained five years earlier. Both clavicular segments showed active remodelling with intraosseous granulation tissue and periosteal metaplastic ossification. The sternocostoclavicular region was fused in a bony block in which there were no signs of remodelling activity. The first rib and the distal extremity of the clavicle were histologically normal. These observations support the conclusions of a previous study of another case of SCCH. The condition might be due to a bone infection caused by an--as yet--unknown germ. Bone remodelling would explain the periosteal hyperostosis and the fragility of the underlying bone. Furthermore, the possibility that the condition might also be a joint disease related to the group of rheumatic diseases called spondyloarthropathies should be considered.
对一名男性尸体进行解剖放射学研究，该男性有27年双侧胸锁关节骨质增生（SCCH）伴掌跖脓疱病的临床病史。锁骨显示有一处未愈合骨折，可归因于五年前遭受的一次创伤。两个锁骨节段均显示有活跃的重塑，伴有骨内肉芽组织和骨膜化生骨化。胸锁关节区域融合成一个骨块，其中没有重塑活动的迹象。第一肋骨和锁骨远端在组织学上正常。这些观察结果支持了先前对另一例SCCH病例研究的结论。这种情况可能是由一种尚未明确的病菌引起的骨感染所致。骨重塑可以解释骨膜增生和下方骨骼的脆弱性。此外，还应考虑这种情况也可能是一种与称为脊柱关节病的风湿性疾病相关的关节疾病的可能性。
