A Rheumatoid Nodule at the Sternoclavicular Joint: An uncommon presentation of a common problem

Authors

Patrick M. Thomas, Marshall University, Huntington, WVFollow
Nathan J. Cockerill, Marshall University, Huntington, WV
Christina M. Arcand, Marshall University, Huntington, WV
Alan R. Koester, Marshall University, Huntington, WV
Mark H. Cooper MD, PhD, Marshall University, Huntington, WVFollow

Author Credentials

Patrick M Thomas BS, Nathan J Cockerill MD, Christina M Arcand MD, Alan R Koester MD and Mark H Cooper MD

Keywords

rheumatoid arthritis, rheumatoid nodule, surgery, thoracic surgery, orthopedic surgery

Disciplines

Medicine and Health Sciences

Abstract

Most rheumatoid nodules are found at joints or pressure points. They rarely require medical intervention and even fewer require surgery. A 78-year-old female developed a 7.2 x 3.2 x 2.8 cm rheumatoid nodule originating at the right sternoclavicular joint, a novel site for a common pathology. Management involved a complex differential diagnosis and surgical treatment was resection from adjacent vascular and neural structures. Following surgical excision, the patient maintained good mobility and sensation of the neck and surrounding areas.

Recommended Citation

Thomas PM, Cockerill NJ, Arcand CM, Koester AR, Cooper MH. A Rheumatoid Nodule at the Sternoclavicular Joint: An uncommon presentation of a common problem. Marshall J Med. 2022; 8(4) DOI: https://doi.org/10.33470/2379-9536.1376.