Abstract
Computed tomographical analysis of sternocostoclavicular hyperostosis was performed in 27 patients. In the earliest stage hyperostosis occurred around the cartilaginous portion of the first ribs. The sternoclavicular joint space was preserved even in the late stage III of the disorder. These findings suggest that sternocostoclavicular hyperostosis develops around the costal cartilage including periosteum, perichondrium, and the ligamentous structures, and that the sternoclavicular joint is not primarily involved. It is also suggested that perichondritis and periostitis play important roles in the etiology of this disorder.
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Abe Y, Funayama K, Iwai K, Irei O (1984) An analysis of sternocosto-clavicular hyperostosis: Report of 27 cases. Seikei Saigai Geka 27:749 (in Japanese)
Andrews GC, Machacek GF (1935) Pustular bacterids of the hands and feet. Arch Dermatol Syphilol 32:837
Beck WC, Berkheiser S (1953) Prominent costal cartilages (Tietze's syndrome). Surgery 35:762
Bergdahl K, Bjorksten B, Gustavson KH, Liden S, Probst F (1970) Pustulosis palmoplantaris and its relation to chronic recurrent multifocal osteomyelitis. Dermatologica 159:37
Bernack L, Crouzet J (1983) Hyperostose sterno-costo-claviculare. Rev Rheumatol 50:247
Bjorksten B, Gustavson KH, Eriksson B, Linderholm A, Nordstrom S (1978) Chronic recurrent multifocal osteomyelitis and pustulosis palmoplantaris. J Pediatr 93:227
Calabro JJ, Marchesano JM (1966) Tietze's syndrome: Report of a case with juvenile onset. J Pediatr 68:985
Chigira M, Maehara S, Nagase M, Ogimi T, Udagawa E (1986) Sternocostoclavicular hyperostosis: a report of nineteen cases. With special reference to etiology and treatment. J Bone Joint Surg [Am] 68:103
Chigira M, Takayama T, Kamatani K, Mohara S, Udagawa E (1986) Antibiotic therapy to sterno-costo-clavicular hyperostosis. Seikei Saigai Geka 29:1521 (in Japanese)
De Haas WHD (1952) Tietze's disease; 8 cases. Ned Tijdschr Geneeskd 96:254
Dohler R, Herringer JD (1983) Hyperostose der Sternoklavikularegeleke — eine Enthesopathie? Z Orthop 121:92
Edelstein G, Levitt RG, Slaker DP, Murphy WA (1984) Computed tomography of Tietze syndrome. J Comput Assist Tomogr 8:20
Fallet GH, Arroyo J, Vischer TL (1983) Sternocostoclavicular hyperostosis: Case report with a 33-year follow-up. Arthritis Rheum 26:784
Gill AM, Jone RA, Pollak L (1942) Tietze's disease (nonsuppurative non-specific swellings of rib cartilage). Br Med J [Clin Res] 2:155
Iizuka T, Morimoto S, Takei N, Suzuki K, Ijichi M, Kobayashi Y, Miura N, Mishima S, Kataoka Y (1986) Clinical characteristics of sterno-costo-clavicular hyperostosis, with special reference to the early stage. Seikei Saigai Geka 29:1477 (in Japanese)
Imakiire A, Miura Y, Fuyuki H, Sekiguchi T, Furuse S, Kawai K, Ito K, Shimizu T, Makino T (1986) Clinico-pathological studies on the sterno-costo-clavicular hyperostosis. Seikei Saigai Geka 29:1491
Ishibashi A, Nishiyama M, Endo M, Kawaji W, Kato T (1977) Orthopedic symptoms in pustular bacterid (pustulosis palmaris et plantaris): Tietze's syndrome and arthritis of manubrio-sternal joint due to focal infection, J Dermatol 4:53
Ishibashi A, Nishiyama A, Endo M, Kawaji W, Kato T, Nunoda Y, Mochizuki K, Ota N (1977) Association of Tietze's syndrome and arthritis of manubriosternal and sternoclavicular joints with pustular bacterid (pustulosis palmaris et plantaris due to focal infection). Kiyorin Med J 8:113 (in Japanese)
Ishii Y, Kawaji W, (1986) Clinicopathological status of inter-sterno-costo-clavicular ossification and HLA. Seikei Saigai Geka 29:1503 (in Japanese)
Karasick S, Karasick D (1982) Case report 188: Sternocostoclavicular hyperostosis. Skeletal Radiol 8:74
Kato T, Kambara H, Hoshi E (1968) Case of bilateral clavicular osteomyelitis with palmar and plantar pustulosis. Seikei Saigai Geka 19:590 (in Japanese)
Kawai K, Doita M, Iguchi T, Ugai K, Ohno O, Hirohata K, Fujita H, Ishikawa H, Yao S (1986) Clinical and histological features of pustulotic arthro-osteopathy. Rinsho Seikei Geka 21:1192 (in Japanese)
Kawakami T, Toyoshima R, Furuse K, Yamamoto Y, Maeyama I, Takagi A, Fujii K, Mori H (1980) So-called sterno-costo-clavicular hyperostosis. Its etiology and manifestations. Rinsho Seikei Geka 15:650 (in Japanese)
Kayser HL (1956) Tietze's syndrome. A review of the literature. Am J Med 21:982
Kobayashi T, Hiraki T, Ishizaki I, Hosokawa T, Hiramatsu Y, Inokuchi H (1961) Association between Tietze's syndrome and asymmetry of calcification of the ribs. Seikei Geka 12:703 (in Japanese)
Köhler H, Uehlinger E, Kutzner J, Waihrauch TR, Wilbert L, Schuster R (1975) Sterno-kosto-klavikuläre Hyperostose — ein bisher nicht beschriebenes Krankheitsbild. Dtsch Med Wochenschr 100:1519
Köhler H, Uehlinger E, Kutzner J, West TB (1977) Sternocostoclavicular hyperostosis: painful swelling of the sternum, clavicles, and upper ribs. Report of new cases. Ann Intern Med 87:192
Kojima K (1980) Ossification in the sterno-costo-clavicular region. Seikei Saigai Geka 23:527 (in Japanese)
Kojima K (1982) Clinical study of so-called sterno-costo-clavicular hyperostosis. Seikei Saigai Geka 25:243 (in Japanese)
Kojima K, Mizutani K, Fujita S, Watanabe Y, Morisu M, Motegi M (1986) Clinical study of sterno-costo-clavicular hyperostosis. Seikei Saigai Geka 29:1483 (in Japanese)
Kojimoto H, Shinmei M, Shimomura Y (1986) Immunological studies for sterno-costo-clavicular hyperostosis. Seikei Saigai Geka 29:1509 (in Japanese)
Landon J, Malpas JS (1959) Tietze's syndrome. Ann Rheum Dis 18:249
Leger L, Moinnereau R (1950) Tumefaction douloureuse de la jonction chondro-costale (syndrome de Tietze). Presse Med 58:336
Levey GS, Calabro JJ (1962) Tietze's syndrome: report of two cases and review of the literature. Arthritis Rheuma 5:261
Morisu M, Kojima K, Fujita S, Tuchiya K, Musha Y, Motegi M (1989) Osteoarthritis with pustulosis palmaris et plantaris, Experience of nine cases. Seikei Geka 40:335 (in Japanese)
Motulsky AG, Rohn RJ (1953) Tietze's syndrome; Cause of chest pain and chest wall swelling. JAMA 152:504
Murasawa A, Tojo T, Hanyu T, Makino M, Suzuki M, Ono T, Umetani Y, Koizumi F (1982) Four cases of sterno-costo-clavicular hyperostosis improved after tonsillectomy, with special reference to the focal infection. Seikei Geka 33:427 (in Japanese)
Nilsson BE, Uden A (1984) Skeletal lesions in palmoplantar pustulosis. Acta Orthop Scand 55:366
Ofuji S, Matsubara T, Watanabe S (1978) Study on pustulosis palmaris and plantaris. Acta Dermatol 53:493
Resnick D (1980) Sternocostoclavicular hyperostosis. AJR 135:1278
Resnick D, Vinton V, Poteshman NL (1981) Sternocostoclavicular hyperostosis. A report of three new cases. J Bone Joint Surg [Am] 63:1329
Santani H, Fujii S (1937) Über 9 Fälle von Tietzescher Krankheit. Mitt Med Akad Kyoto 21
Sartoris DJ, Schreiman JS, Kerr R, Resnik CS, Resnick D (1986) Sternocostoclavicular hyperostosis: a review and report of 11 cases. Radiology 158:125
Shirado O, Yoda Y, Sakuma T, Goto E, Hashimoto Y, Matsuno T (1983) Nine cases of so-called sternoclavicular hyperostosis. Rinsho Seikei Geka 18:773 (in Japanese)
Skorneck AB (1960) Roentgen aspects of Tietze's syndrome. Painful hypertrophy of costal cartilage and bone — osteochondritis? AJR 83:748
Sonozaki H, Furusawa S, Seki H, Kurosawa T, Tateishi A, Kabata K (1974) Four cases with symmetrical ossifications between the clavicles and the first ribs of both sides. Kanto J Orthop Traumat 5:244 (in Japanese)
Sonozaki H, Azuma A, Okai K, Nakamura S, Fukuoka S, Tateishi A, Kurosawa H, Mannoji T, Kabata K, Mitsui H, Seki H, Abe I, Furusawa S, Matsuura M, Kudo A, Hoshino T (1979) Clinical features of 22 cases with “Inter-sterno-costo-clavicular ossification” A new rheumatic syndrome. Arch Orthop Trauma Surg 95:13
Sonozaki H, Mitsui H, Miyanaga Y, Okitu K, Igarashi M, Hayashi Y, Matsuura M, Azuma A, Okai K, Kawashima M (1981) Clinical features of 53 cases with pustulotic arthro-osteitis. Ann Rheum Dis 40:547
Sonozaki H, Kawashima M, Hongo O, Ikeno M, Matsuura M, Okai K, Azuma A (1981) Incidence of arthro-osteitis in patients with pustulosis palmaris et plantaris. Ann Rheum Dis 40:554
Tateishi H, Yoo K (1986) Arthro-osteitis associated with pustulosis palmaris et plantaris. Seikei Saigai Geka 29:737 (in Japanese)
Tietze A (1921) Ueber eine eigenartige Häufung von Fällen mit Dystrophie der Rippenknorpel. Berl Klin Wochenschr 58:829
Usui M, Ishii S, Yokogushi S, Katahira G, Sato T, Yokozawa H, Narita H, Saito S, Takegahara N (1986) The effect of tonsillectomy on sterno-costo-clavicular hyperostosis. Seikei Saigai Geka 29:1515 (in Japanese)
Wehrmacher WH (1955) Significance of Tietze's syndrome in differential diagnosis of chest pain. JAMA 157:505
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Chigira, M., Shimizu, T. Computed tomographic appearances of sternocostoclavicular hyperostosis. Skeletal Radiol 18, 347–352 (1989). https://doi.org/10.1007/BF00361423
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DOI: https://doi.org/10.1007/BF00361423