Author Credentials

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


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


Medicine and Health Sciences


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.