Kofoed H, Thomsen P, Lindenberg S
Scand J Rheumatol. 1985;14(1):61-4. doi: 10.3109/03009748509102019.
Ten patients with unilateral spontaneous swelling of the sternoclavicular joint are presented. Plain radiographic examination of the joints revealed no abnormalities. Technetium scintigraphy was positive. After surgical biopsy the swelling and the symptoms disappeared. Patho-anatomical examination of synovialis from these joints revealed serous synovitis as the only pathological finding. Seven other patients with clinical symptoms undistinguishable from the above-mentioned and with normal plain radiographic findings showed, patho-anatomically: osteomyelitis (2 cases), ganglion (2 cases), osteoarthritis (1 case), Friedrich's disease (1 case) and a carcinoma metastasis (1 case). In view of the differential diagnostic aspects it was concluded that diagnosis of spontaneous swelling of the sternoclavicular joint after inconclusive serological, radiographical and scintigraphical examination, always should be established on the basis of surgical biopsy and patho-anatomical evaluation.
本文报告了10例单侧胸锁关节自发性肿胀的患者。关节的X线平片检查未发现异常。锝骨扫描呈阳性。手术活检后肿胀及症状消失。对这些关节的滑膜进行病理解剖检查，发现浆液性滑膜炎是唯一的病理表现。另外7例临床症状与上述患者无法区分且X线平片正常的患者，病理解剖显示：骨髓炎（2例）、腱鞘囊肿（2例）、骨关节炎（1例）、弗里德里希病（1例）和癌转移（1例）。鉴于鉴别诊断方面的情况，得出结论：在血清学、影像学和骨扫描检查结果不明确后，胸锁关节自发性肿胀的诊断始终应基于手术活检和病理解剖评估来确立。
