Hypertrophy of the sternoclavicular joint after functional neck dissection

Hypertrophy of the sternoclavicular joint after functional neck dissection Sternoclavicular joint hypertrophy is anecdotally reported as a common sequela to radical neck dissection. It is postulated that sternoclavicular joint hypertrophy is a result of a combination of spinal accessory nerve division and sternocleidomastoid muscle resection during radical neck dissection. However, we noticed that sternoclavicular joint hypertrophy can occur following functional neck dissection with preservation of the spinal accessory nerve, the sternocleidomastoid muscle and the internal jugular vein. Regardless of the aetiological factors that can lead to sternoclavicular joint hypertrophy, we believe that plain radiography and ultrasound examination of the joint, with or without fine needle aspiration or core biopsy may rule out bone metastasis with no need for further investigations. We wish to present a case of sternoclavicular joint hypertrophy following functional neck dissection to highlight the point that sternoclavicular joint hypertrophy is not solely related to division of the spinal accessory nerve and/or the sternocleidomastoid muscle. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Hypertrophy of the sternoclavicular joint after functional neck dissection

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Publisher
Springer-Verlag
Copyright
Copyright © 2008 by Springer-Verlag
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s00238-007-0186-y
Publisher site
See Article on Publisher Site

Abstract

Sternoclavicular joint hypertrophy is anecdotally reported as a common sequela to radical neck dissection. It is postulated that sternoclavicular joint hypertrophy is a result of a combination of spinal accessory nerve division and sternocleidomastoid muscle resection during radical neck dissection. However, we noticed that sternoclavicular joint hypertrophy can occur following functional neck dissection with preservation of the spinal accessory nerve, the sternocleidomastoid muscle and the internal jugular vein. Regardless of the aetiological factors that can lead to sternoclavicular joint hypertrophy, we believe that plain radiography and ultrasound examination of the joint, with or without fine needle aspiration or core biopsy may rule out bone metastasis with no need for further investigations. We wish to present a case of sternoclavicular joint hypertrophy following functional neck dissection to highlight the point that sternoclavicular joint hypertrophy is not solely related to division of the spinal accessory nerve and/or the sternocleidomastoid muscle.

Journal

European Journal of Plastic SurgerySpringer Journals

Published: Apr 1, 2008

References

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