Fluoroscopy-guided intra-articular steroid injection for sternoclavicular joint arthritis secondary to limited cutaneous systemic sclerosis: a case report

Korean J Pain. 2017 Jan;30(1):59-61. doi: 10.3344/kjp.2017.30.1.59. Epub 2016 Dec 30.

Abstract

We report a case of fluoroscopy-guided intraarticular steroid injection for sternoclavicular joint (SCJ) arthritis caused by limited cutaneous systemic sclerosis (SSc). A 50-year-old woman diagnosed with limited cutaneous SSc presented with swelling and pain in the right SCJ. MRI revealed signs of inflammation consistent with right-sided sternoclavicular joint arthritis. After the failure of oral medications, we performed fluoroscopy-guided injection in this region. She reported complete resolution of her symptoms at 4 and 12-week follow-ups. This outcome suggests that a fluoroscopy-guided SCJ injection might be a safe and successful treatment option for sternoclavicular joint arthritis.

Keywords: Arthritis; Fluoroscopy; Injections; Intra-articular; Limited; Methylprednisolone; Pain; Scleroderma; Sternoclavicular joint.

Publication types

  • Case Reports