Condensing Osteitis
Epidemiology
- seen in women over 40
Xray
- sclerotic and overgrown
CT
NHx
Sng Ann Acad Med Sing 2004
- follow up of 9 patients mean 34 months
- pain reduced over time
Management
Refractory
Will resolve with time
Options
- HCLA injection
- excision
Friedrich's Disease
Very rare condition seen in young adults
- AVN of sternal end of clavicle / occasionally lateral end
- pain and swelling
- ESR may be raised
- irregular sclerotic appearance on xray
- rarely requires excision
Sternoclavicular Hyperostosis
Bilateral condition
- ossification of sternoclavicular ligaments
- may lead to solid ossification with restriction of shoulder motion
- associated with pustules and elevated Alk Phos
Osteoarthritis
Options
1. Intra-articular cortisone
2. Fusion