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KMID : 0613320060120020103
Journal of the Korean Bone and Joint Tumor Soceity
2006 Volume.12 No. 2 p.103 ~ p.111
Long-term Follow-up Study of Sternocostoclavicular Hyperostosis
Kim Jeung-Il

Suh Kuen-Tak
Abstract
Purpose: Sternocostoclavicular hyperostosis (SCCH) is a disease of unknown etiology, which is characterized by periosteal reaction and endosteal hyperossification of the sternum, clavicles and upper ribs as well as ossification of the surrounding soft tissue. SCCH is a well recognized but uncommon condition which is important differential diagnosis to consider to avoid misdiagnosis and to differentiate the condition from malignant process. But few studies have reported
long-term clinical result of SCCH. We report long-term clinical result of SCCH.

Materials and Methods: From 1986 to 2000, 17 cases of SCCH were followed up over two to 14 years. We evaluated the radiologic, pathologic and clinical results.

Results: Four men and thirteen women were studied. The age when first symptom appeared were raged from17 to 60(average-48.7) There are no specific bacteriological, serological or histological finding. Usually a permanent increase in the erythrocyte sedimentation rate is found. The radiological examination showed the signs of proliferate destructive arthritis in most case. The majority of patients respond to NSAIDs and antibiotics.

Conclusion: Sternocostoclavicular hyperostosis is uncommon benign condition, but important condition in the differential diagnosis of inflammatory or malignant process of this joint.
KEYWORD
Sternocostoclavicular hyperostosis, Long-term follow-up
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