The Experts below are selected from a list of 18 Experts worldwide ranked by ideXlab platform
Donghwi Park - One of the best experts on this subject based on the ideXlab platform.
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Ultrasound-Guided Corticosteroid Injection in a Patient With Tietze Syndrome Combined With Costochondral Joint Swelling.
American journal of physical medicine & rehabilitation, 2019Co-Authors: Ju Young Cho, Donghwi ParkAbstract:Tietze syndrome is an uncommon disease of unknown etiology that manifests as pain and tenderness of the parasternal Joints. To date, however, there has been no report on ultrasonographic findings concerning swelling of the Costochondral Joint in Tietze syndrome. Moreover, there has been no research investigating images of ultrasound-guided corticosteroid injection, although corticosteroid injection is one of the most important treatments for Tietze syndrome. Therefore, we report a case of Tietze syndrome where ultrasound images were used in the diagnostic and therapeutic process. A 70-yr-old man was seen for left chest pain that had lasted for several weeks. Physical examination at our clinic revealed a focal tenderness of the left third Costochondral Joint, and an ultrasound showed a swelling of the left third Costochondral Joint. Considering both the radiological and the clinical examination, the patient received a diagnosis of Tietze syndrome with Costochondral Joint swelling. Then, the patient agreed to an ultrasound-guided left third Costochondral corticosteroid injection after receiving a detailed explanation of the disease and treatment. After receiving three ultrasound-guided corticosteroid injections, his chest pain subsided, and the swelling and tenderness also disappeared completely. Collectively, our case suggests that ultrasound is important in the diagnosis and treatment of Tietze syndrome.
Ju Young Cho - One of the best experts on this subject based on the ideXlab platform.
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Ultrasound-Guided Corticosteroid Injection in a Patient With Tietze Syndrome Combined With Costochondral Joint Swelling.
American journal of physical medicine & rehabilitation, 2019Co-Authors: Ju Young Cho, Donghwi ParkAbstract:Tietze syndrome is an uncommon disease of unknown etiology that manifests as pain and tenderness of the parasternal Joints. To date, however, there has been no report on ultrasonographic findings concerning swelling of the Costochondral Joint in Tietze syndrome. Moreover, there has been no research investigating images of ultrasound-guided corticosteroid injection, although corticosteroid injection is one of the most important treatments for Tietze syndrome. Therefore, we report a case of Tietze syndrome where ultrasound images were used in the diagnostic and therapeutic process. A 70-yr-old man was seen for left chest pain that had lasted for several weeks. Physical examination at our clinic revealed a focal tenderness of the left third Costochondral Joint, and an ultrasound showed a swelling of the left third Costochondral Joint. Considering both the radiological and the clinical examination, the patient received a diagnosis of Tietze syndrome with Costochondral Joint swelling. Then, the patient agreed to an ultrasound-guided left third Costochondral corticosteroid injection after receiving a detailed explanation of the disease and treatment. After receiving three ultrasound-guided corticosteroid injections, his chest pain subsided, and the swelling and tenderness also disappeared completely. Collectively, our case suggests that ultrasound is important in the diagnosis and treatment of Tietze syndrome.
Robin R. Gray - One of the best experts on this subject based on the ideXlab platform.
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tuberculous osteomyelitis arthritis of the first costo clavicular Joint and sternum
World Journal of Radiology, 2014Co-Authors: Prasan Patel, Robin R. GrayAbstract:A young Somali immigrant presents with a two-year history of a large, firm, painful right anterolateral chest wall sternal mass. The patient denied any history of trauma or infection at the site and did not have a fever, erythematous lesion at the site, clubbing, or lymphadenopathy. A lateral chest radiograph demonstrated a low density mass isolated to the subcutaneous soft tissue overlying the sternum, ribs and clavicle. Computed tomography (CT) with contrast demonstrated a cystic lesion in the right anterolateral chest wall deep to the pectoralis muscle. Enhanced CT of the chest demonstrated sclerosis and destruction of the rib and Costochondral Joint and manubrio-sternal Joint narrowing. Ultrasound-guided biopsy and aspiration returned 500 cc of purulent, cloudy yellow, foul-smelling fluid. Acid-fact bacilli stain and the nucleic acid amplification test identified and confirmed Mycobacterium tuberculosis. A diagnosis of tuberculous osteomyelitis/septic arthritis was made and antibiotic coverage for tuberculosis was initiated.
Prasan Patel - One of the best experts on this subject based on the ideXlab platform.
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tuberculous osteomyelitis arthritis of the first costo clavicular Joint and sternum
World Journal of Radiology, 2014Co-Authors: Prasan Patel, Robin R. GrayAbstract:A young Somali immigrant presents with a two-year history of a large, firm, painful right anterolateral chest wall sternal mass. The patient denied any history of trauma or infection at the site and did not have a fever, erythematous lesion at the site, clubbing, or lymphadenopathy. A lateral chest radiograph demonstrated a low density mass isolated to the subcutaneous soft tissue overlying the sternum, ribs and clavicle. Computed tomography (CT) with contrast demonstrated a cystic lesion in the right anterolateral chest wall deep to the pectoralis muscle. Enhanced CT of the chest demonstrated sclerosis and destruction of the rib and Costochondral Joint and manubrio-sternal Joint narrowing. Ultrasound-guided biopsy and aspiration returned 500 cc of purulent, cloudy yellow, foul-smelling fluid. Acid-fact bacilli stain and the nucleic acid amplification test identified and confirmed Mycobacterium tuberculosis. A diagnosis of tuberculous osteomyelitis/septic arthritis was made and antibiotic coverage for tuberculosis was initiated.
Apipop Kritsaneephaiboon - One of the best experts on this subject based on the ideXlab platform.
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fixation of multiple segmented costosternal cartilage fracture in flail chest injury a case report
Journal of Health Science and Medical Research, 2020Co-Authors: Pornpanit Dissaneewate, Methasit Suksintharanon, Chulin Chewakidakarn, Wich Orapiriyakul, Apipop KritsaneephaiboonAbstract:Early internal fixation of rib fractures in the setting of flail chest has proven benefits over traditional conservative treatment. This can decrease pneumonia, time on mechanical ventilation, length of stay in intensive care units, need for tracheostomy and increase in the pulmonary function test. However, there are few reports regarding on how to restore the Costochondral junction, or costal cartilage in cases of anterior or anterolateral flail chest involving cartilage matrix of the ribs or Costochondral Joint. This case report describes a surgical technique to restore the Costochondral junction with plate osteosynthesis and the results.
