Ultrasound-guided intra-articular corticosteroid injection in a patient with manubriosternal joint involvement of ankylosing spondylitis:A case report  

作　　者：Min-Hee Choi In-Young Yoon Won-Joong Kim 

机构地区：[1]Department of Anesthesiology and Pain Medicine,Ewha Womans University Mokdong Hospital,Seoul 07985,South Korea

出　　处：《World Journal of Clinical Cases》2023年第9期2043-2050,共8页世界临床病例杂志

摘　　要：BACKGROUND Manubriosternal joint(MSJ)disease is a rare cause of anterior chest pain but can be a major sign of systemic arthritic involvement.In patients with ankylosing spondylitis(AS),a type of systemic arthritis,chest pain can be due to MSJ involvement and can be improved by ultrasound-guided corticosteroid injection into the joint.CASE SUMMARY A 64-year-old man visited our pain clinic complaining of anterior chest pain.There were no abnormal findings on lateral sternum X-ray,but arthritic changes in the MSJ were observed on single-photon emission computed tomography-computed tomography.We performed additional laboratory tests,and he was finally diagnosed with AS.For pain relief,we performed ultrasound-guided intra-articular(IA)corticosteroid injections into the MSJ.After the injections,his pain nearly resolved.CONCLUSION For patients complaining of anterior chest pain,AS should be considered,and single-photon emission computed tomography-computed tomography can be helpful in diagnosis.In addition,ultrasound-guided IA corticosteroid injections may be effective for pain relief.

关 键 词：Ankylosing spondylitis Anterior chest pain Manubriosternal joint Single-photon emission computed tomography-computed tomography Case report 

分 类 号：R593.23[医药卫生—内科学]