Negrete-Castañeda S, Bañuelos-Talavera LA, Grangeno-Aguirre J

Language: Spanish
References: 10
Page: 379-381
PDF size: 72.70 Kb.

ABSTRACT

The sternoclavicular joint is subject to the same disease processes than the rest of the joints; it is a synovial joint. Ganglions are circumscribed tumors associated to a synovial structure; their highest incidence is in the wrist dorsum, but they may be found in all the joints with a synovial structure. The etiology of ganglions includes degenerative, traumatic, congenital causes and inflammatory processes. We describe herein the case of a 6 year old female patient with a ganglion in the sternoclavicular joint, with a traumatic origin and symptomatic upon performing physical activity. Ultrasound of the sternoclavicular joint was performed; treatment included puncture, aspiration and methylprednisolone injection. The observation of asymptomatic patients is a perfectly reasonable treatment plan.

REFERENCES

1. Restrepo CS, Martinez S, Lemos DF: Imaging appearances of the sternum and sternoclavicular joints. Radiographics 2009; 29: 839-59.

2. Canale ST: Campbell Cirugía Ortopédica. Vol. I. Traumatología y Ortopedia. 10a ed. Elsevier, Saunder, Mosby, Harcourt Brace; 2004: 3797-8.

3. Crespo M, Benavides V: Ganglión de la articulación acromioclavicular. MEDIFAM 2002; 12: 646-9.

4. Steiner E, Steinbach LS, Schnarkowski P, Tirman PFJ, Genant HK: Ganglia and cysts around joints. Radiol Clin North Am 1996; 34: 395-425.

5. Baba H, Furusawa N, Maezawa Y, Uchida K, Kokubo Y, Imura S, et al. Ganglion cyst of the posterior longitudinal ligament causing lumbar radiculopathy: case report. International Medical Society of Paraplegia. Spinal Cord 1997; 35: 632-5.

6. Emura T, Yokomori K, Obana K, Tanaka J: Ganglion of the groin in a child: an unusual cause of soft-tissue swelling of the groin. Pediatr Surg Int 2005; 21: 227-9.

7. Zantop T, Rusch A, Hassenpflug J, Petersen W: Intra-articular ganglion cysts of the cruciate ligaments: case report and review of the literature. Arch Orthop Trauma Surg 2003; 123: 195-8.

8. Higginbotham TO, Kuhn JE: Lesiones no traumáticas de la articulación esternoclavicular. J Am Acad Orthop Surg (Ed Esp) 2005; 3: 214-21.

9. Adam SI, Karas DE, Lesnik G: Rare pediatric neck mass: Sternoclavicular joint ganglion cyst. International Journal of Pediatric Otorhinolaryngology Extra 2011; 6: 361-2.

10. Haber LH, Waanders NA, Thompson GH, Petersilge C, Ballock T: Sternoclavicular joint ganglion cysts in young children. Journal of Pediatric Orthopaedics 2002; 22: 544-7.