Concluded Case

Sternoclavicular joint arthritis

30 years old female with paint right upper chest with mild oedema since 1 month duration. X- ray cheat is normal . MRI scan of anterior chest wall is indicative of right sternoclavicular joint arthritis with inflammatory changes sub - cortical cystic changes on clavicular side and mild marrow oedema . Opinion welcomed in this case

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Concluded answer
Causes of swelling of sternoclavicular joint in this case may be due to rheumatoid arthritis as MRI finding showing sub chondral cyst and sclerosis D/D Degenerative changes Septic arthritis Crystal deposit disorder Tuberculosis of sterno clavicular joint Metastatic disease Treatment Excision of the medial end of the clavicle.
All Answers
Causes of swelling of sternoclavicular joint in this case may be due to rheumatoid arthritis as MRI finding showing sub chondral cyst and sclerosis D/D Degenerative changes Septic arthritis Crystal deposit disorder Tuberculosis of sterno clavicular joint Metastatic disease Treatment Excision of the medial end of the clavicle.
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DD 1) RA , as suggested by sunchondral cysts and sclerosis. 2) TB SC joint Needs investigations,
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Swollen lymph nodes use of Arogyvardhni ,triphla, Kanchnar Guggle and bitter herbs to increase the body's' ability to digest fats. If lipoma be me pain full and increase in size surgery is the treatment of choice.
Rumayalaya forte 1-0-1 Maha yograja guggulu 1-0-1 Rasaraja rasa 125mg bd with honey. Visha garbha taila for application
There is prominence of right sternoclavicular joint since 10 years but pain is since 1 month