Hello Guys
Just want to give a follow up on this case I sent about 2 months ago.
No final diagnosis yet.
Please advise. My first impression was CRMO vs JIA. History of fall 12
month ago with manubriosternal pain and malalignment.
best
Lucas
———- Forwarded message ———
De: Lucas Da Gama Lobo <gamalobolucas@gmail.com>
Date: ter., 13 de jul. de 2021 às 10:58
Subject: Re: manubriosternal and sternoclavicular joint arthritis
To: OCAD-MSK <ocad-msk@googlegroups.com>
Thanks to all who responded.
Responses are below. I have to admit that trauma was down on my list, it
was minor (fall from height at school) but I had two strong feedbacks from
Robert Lambert and Avneesh. There is definitely mild manubriosternal
malalignment.
Patine is currently finishing a full rheumatology blood work. I´ll keep you
posted.
cheers
Lucas
1 – Interesting case.
On the Sag, there is definite manubriosternal malalignment – suggests
trauma. You don’t usually see this with the inflammatory arthropathies.
Minor inflammation in the SCJ could be reactive to the sternal changes.
I think CRMO is very unlikely.
So I would say – not definite but – Trauma > JIA – and lab results /
rheumatologists opinion should help.
2 – Just post traumatic findings it’s a subluxation at the manubriosternal
junction and disc extrusion. And sprain of the s-c joints
3- ?sapho
4- Hi Lucas,
yes, probable CRMO.
But also juvenile-onset ankylosis spondylitis could be excluded-it usually
starts with arthritis of single joint in lower limb (hip, knee), but
sterno-clavicular joints may be the first to be affected, so check HLA B27.
5- More like crmo to me.
No articular joint effusion.
Do Crp
Follow up
Em ter., 6 de jul. de 2021 às 12:50, Lucas Da Gama Lobo < gamalobolucas@gmail.com> escreveu:
> Dear Ocaders
>
> Please advise on the case attached.
>
> Thanks
>
> Lucas
>
12-year-old-male.pptx 