Pyarthrosis of the manubriosternal joint is exceedingly rare. Its rarity defies an early diagnosis, and other causes of chest pain would normally be ruled out first. We describe a patient with a short history of chest pain, pyrexia, and raised inflammatory markers. A destroyed manubriosternal joint with a large abscess was found during surgical exploration. This case illustrates an unusually rapid development of septic arthritis involving a fibrocartilaginous joint in an otherwise healthy young man. Nine other cases have been described in the literature and are reviewed. Early diagnosis followed by adequate surgical drainage and antibiotic therapy led to a good outcome.
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Manubriosternal Morphology of Anthropoid Primates.
Am J Biol Anthropol
January 2025
Department of Pathology and Anatomical Sciences, M263 Medical Sciences Building, University of Missouri, Columbia, Missouri, USA.
Objectives: The purpose of this paper is to examine the proportions of the manubrium and sternebrae across anthropoid primates to explore variation hypothesized to be related to thoracic shape and locomotor specialization, and to determine whether the sternoclavicular joint orientation in hominoids reflects hypothesized differences in shoulder joint positioning relative to the thorax.
Materials And Methods: Metric data and sternoclavicular joint orientation data were collected from calibrated photographs of manubria and sternebrae from a large sample (n = 244) of extant anthropoid primates, as well as a small sample of fossil taxa. Manubriosternal and rib cage metric data were also collected from CT scans of an additional 52 extant anthropoid torsos.
Although rare, septic arthritis of the manubriosternal and chrondrosternal joints should be considered in the presence of a parasternal mass with fever and/or local signs of inflammation. MRI has an important role in the diagnosis. Blood cultures should be obtained routinely.
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