Prost A, Dupas B, Rymer R, Caumon J P, Basle M, Rebel A
J Radiol. 1980 Dec;61(12):807-12.
The authors report two cases of sterno costo clavicular hyperostosis. Six cases have been described in previous reports by Köhler (five cases) and CAMUS (one case). This disease begins with sterno costo clavicular pain that develops with exacerbations over several years. Biologically, there is a no specific inflammatory syndrome. Radiologically, clavicles sternum and first ribs are enlarged and increased in density. There is also an ossification of the sterno clavicular and sterno costal junctions. Phlebography sometimes show subclavian veins occlusion. Histological finding is hyperostosis without osteoclast inclusions. The main differential diagnosis is the Paget's disease.
作者报告了两例胸锁关节骨肥厚症。此前科勒(5例)和卡米(1例)的报告中已描述过6例。该病始于胸锁关节疼痛,数年间病情逐渐加重。生物学上,存在非特异性炎症综合征。放射学上,锁骨、胸骨和第一肋骨增大且密度增加。胸锁关节和胸肋关节也有骨化现象。静脉造影有时显示锁骨下静脉闭塞。组织学检查发现为骨肥厚,无破骨细胞包涵体。主要鉴别诊断是佩吉特病。