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Ultrasound-guided intra-articular corticosteroid injection in a patient with manubriosternal joint involvement of ankylosing spondylitis: A case report
- Title
- Ultrasound-guided intra-articular corticosteroid injection in a patient with manubriosternal joint involvement of ankylosing spondylitis: A case report
- Authors
- Choi, Min-Hee; Yoon, In-Young; Kim, Won-Joong
- Ewha Authors
- 김원중
- SCOPUS Author ID
- 김원중
- Issue Date
- 2023
- Journal Title
- WORLD JOURNAL OF CLINICAL CASES
- ISSN
- 2307-8960
- Citation
- WORLD JOURNAL OF CLINICAL CASES vol. 11, no. 9, pp. 2043 - 2050
- Keywords
- Ankylosing spondylitis; Anterior chest pain; Manubriosternal joint; Single-photon emission computed tomography-computed tomography; Case report
- Publisher
- BAISHIDENG PUBLISHING GROUP INC
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- 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.
- DOI
- 10.12998/wjcc.v11.i9.2043|http://dx.doi.org/10.12998/wjcc.v11.i9.2043
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
- Files in This Item:
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