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. 1988 Oct;47(10):809–815. doi: 10.1136/ard.47.10.809

Palmoplantar pustulosis and sternocostoclavicular arthro-osteitis.

E Edlund 1, U Johnsson 1, L Lidgren 1, H Pettersson 1, G Sturfelt 1, B Svensson 1, J Theander 1, H Willén 1
PMCID: PMC1003608  PMID: 3058054

Abstract

Seventeen patients with shoulder pain and radiographic involvement of the sternoclavicular or sternocostal joints, or both, are described. Eleven of these patients also had palmoplantar pustulosis. Histological examination of the joints showed chronic and subacute inflammation, increased osteoblastic activity, and cartilage degeneration. Propionibacterium acnes was cultured in tissue samples from seven of the 15 biopsied patients, a finding at variance with those of previous reports. The possibility that sternoclavicular arthro-osteitis is of infectious origin should be the subject of further investigation. Non-steroidal anti-inflammatory drugs (NSAIDs) may provide pain relief, possibly owing to their inhibitory action on osteoblasts. In cases of severely restricted movement or severe pain resection of the medial clavicle may be considered.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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