Ultrasound-guided intra-articular corticosteroid injection in a patient with manubriosternal joint involvement of ankylosing spondylitis: A case report
- 주제(키워드) Ankylosing spondylitis , Anterior chest pain , Manubriosternal joint , Single-photon emission computed tomography-computed tomography , Case report
- 주제(기타) Medicine, General & Internal
- 설명문(일반) [Choi, Min-Hee; Yoon, In-Young; Kim, Won-Joong] Ewha Womans Univ, Dept Anesthesiol & Pain Med, Mokdong Hosp, 1071 Anyangcheon Ro, Seoul 07985, South Korea
- 등재 SCIE, SCOPUS
- OA유형 gold, Green Published
- 발행기관 BAISHIDENG PUBLISHING GROUP INC
- 발행년도 2023
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000208660
- 본문언어 영어
- Published As https://doi.org/10.12998/wjcc.v11.i9.2043
- PubMed 36998969
초록/요약
BACKGROUNDManubriosternal joint (MSJ) disease is a rare cause of anterior chest pain but can be a major sign of systemic arthritic involvement. In patients with ankylosing spondylitis (AS), a type of systemic arthritis, chest pain can be due to MSJ involvement and can be improved by ultrasound-guided corticosteroid injection into the joint.CASE SUMMARYA 64-year-old man visited our pain clinic complaining of anterior chest pain. There were no abnormal findings on lateral sternum X-ray, but arthritic changes in the MSJ were observed on single-photon emission computed tomography-computed tomography. We performed additional laboratory tests, and he was finally diagnosed with AS. For pain relief, we performed ultrasound-guided intra-articular (IA) corticosteroid injections into the MSJ. After the injections, his pain nearly resolved.CONCLUSIONFor patients complaining of anterior chest pain, AS should be considered, and single-photon emission computed tomography-computed tomography can be helpful in diagnosis. In addition, ultrasound-guided IA corticosteroid injections may be effective for pain relief.
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