Panclavicular ankylosis in pustulotic arthroosteitis - A case report

Citation
K. Tamai et K. Saotome, Panclavicular ankylosis in pustulotic arthroosteitis - A case report, CLIN ORTHOP, (359), 1999, pp. 146-150
Citations number
26
Language
INGLESE
art.tipo
Article
Categorie Soggetti
Ortopedics, Rehabilitation & Sport Medicine","da verificare
Journal title
CLINICAL ORTHOPAEDICS AND RELATED RESEARCH
ISSN journal
0009-921X → ACNP
Issue
359
Year of publication
1999
Pages
146 - 150
Database
ISI
SICI code
0009-921X(199902):359<146:PAIPA->2.0.ZU;2-Z
Abstract
A 54-year-old man who had palmoplantar pustulosis showed bilateral, complet e osseous fusion of the sternoclavicular and acromioclavicular joints. No s ignificant abnormality was seen in the glenohumeral joint. The left clavicl e had a nonunion develop, whereas the right did not. The elevation of the r ight shoulder was limited to 100 degrees in active and passive measurements . The total external rotation and internal rotation at the side was 135 deg rees. This decreased to 90 degrees at 60 degrees elevation and to 10 degree s at maximum (100 degrees) elevation. Based on the kinematic data on normal shoulders, it was thought that the ankylosis of both ends of the clavicle held the scapula unrotated during the arm movement so that, at the arm to t runk angle of 100 degrees, the position of the humerus relative to the scap ula was equivalent to that of a normal shoulder in complete elevation. The current case provided an extremely rare clinical setting where shoulder mob ility depended only on glenohumeral motion as a result of the complete loss of scapulothoracic motion.