Korean J Pain.  2017 Jan;30(1):59-61. 10.3344/kjp.2017.30.1.59.

Fluoroscopy-guided intra-articular steroid injection for sternoclavicular joint arthritis secondary to limited cutaneous systemic sclerosis: a case report

• Sencan S
• Güler E
• Cüce I
• Erol K

• KMID: 2365342
• DOI: http://doi.org/10.3344/kjp.2017.30.1.59

Abstract

We report a case of fluoroscopy-guided intraarticular steroid injection for sternoclavicular joint (SCJ) arthritis caused by limited cutaneous systemic sclerosis (SSc). A 50-year-old woman diagnosed with limited cutaneous SSc presented with swelling and pain in the right SCJ. MRI revealed signs of inflammation consistent with right-sided sternoclavicular joint arthritis. After the failure of oral medications, we performed fluoroscopy-guided injection in this region. She reported complete resolution of her symptoms at 4 and 12-week follow-ups. This outcome suggests that a fluoroscopy-guided SCJ injection might be a safe and successful treatment option for sternoclavicular joint arthritis.

Keyword

Arthritis; Fluoroscopy; Injections; Intra-articular; Limited; Methylprednisolone; Pain; Scleroderma; Sternoclavicular joint

MeSH Terms

Arthritis*
Female
Fluoroscopy
Follow-Up Studies
Humans
Inflammation
Magnetic Resonance Imaging
Methylprednisolone
Middle Aged
Scleroderma, Systemic*
Sternoclavicular Joint*
Methylprednisolone

Figure

• 

  Fig. 1 T2-weighted axial MRI image showing fluid collection in the sternoclavicular joint (arrow).

• 

  Fig. 2 Contrast spread inside SCJ sternoclavicular joint.

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