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American Journal of Roentgenology, Vol 140, Issue 1, 117-121
Copyright © 1983 by American Roentgen Ray Society

Articles

The manubriosternal joint in rheumatoid disease

JI Sebes and JE Salazar

Manubriosternal joint abnormalities are often undetected causes of chest pain. Twenty-five normal patients and 40 cadaver specimens were evaluated to establish the normal radiographic anatomy of this articulation. Analysis of the manubriosternal joint was carried out in rheumatoid diseases in order to ascertain the incidence and variety of abnormalities. Twenty-seven of 100 manubriosternal joints were abnormal in rheumatoid arthritis. Of 25 patients with ankylosing spondylitis 20 (80%) revealed abnormalities either with erosions or fusion. None of 25 patients with psoriatic arthritis and none of 20 with Reiter syndrome showed erosions or ankylosis. The articulation should be evaluated in rheumatoid diseases and in non-arthritic patients with chest and/or shoulder pain.
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B. Mukerji, V. Mukerji, M. A. Alpert, and R. Selukar
The Prevalence of Rheumatologic Disorders in Patients with Chest Pain and Angiographically Normal Coronary Arteries
Angiology, May 1, 1995; 46(5): 425 - 430.
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Copyright © 1983 by the American Roentgen Ray Society.