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Updated: Oct 11, 2025

Transaxillary First Rib Resection for Treatment of the Thoracic Outlet Syndrome

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Published on: September 13, 2020

[Swelling at the sternoclavicular joint].

Anouk H van der Vossen^1,2, Henk-Jan van der Woude³, Vikash G Hindori⁴

¹OLVG, afd. Orthopedie, Amsterdam.

Nederlands Tijdschrift Voor Geneeskunde

|December 2, 2021

Summary

Visible sternoclavicular (SC) joint masses have diverse causes, including luxation, osteomyelitis, and SAPHO syndrome. Prompt diagnosis via aspiration and blood tests is crucial for effective treatment.

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Area of Science:

Orthopedics
Rheumatology
Infectious Diseases

Background:

The sternoclavicular (SC) joint is susceptible to various pathologies presenting as visible masses.
Differential diagnosis is essential for appropriate management of SC joint abnormalities.

Observation:

Three cases illustrate diverse SC joint pathologies: anterior luxation, osteomyelitis, and sterno-costo-clavicular hyperostosis (SCCH) within SAPHO syndrome.
Atraumatic SC joint swelling is often osteoarthritis; acute swelling with systemic symptoms suggests infection or rheumatologic conditions.

Findings:

Diagnostic pathways vary based on presentation, from imaging to joint aspiration and laboratory tests.
Distinguishing between infectious, rheumatologic, and degenerative causes requires a systematic approach.

Implications:

Accurate diagnosis of SC joint masses is critical for tailored treatment strategies.
A multidisciplinary approach may be beneficial for complex or rare SC joint conditions.